Organization Active NPI

Ajit M Chikarmane MD PC

  • Neurology Physician
  • Hazleton, PA
National Provider Identifier
1104126325
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD027889E Issued in PA
Legal business name
AJIT M CHIKARMANE MD PC
Practice address
20 N Laurel St
2B
Hazleton, PA 18201-5948
Phone
(570) 454-5715
Fax
(570) 455-5095
NPI assigned
Oct 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ajit M Chikarmane, MD
Title
President
Phone
(570) 454-5715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X MD027889E PA Primary

Addresses

Primary practice location

20 N Laurel St
2B
Hazleton, PA 18201-5948

Mailing address

20 N Laurel St
2B
Hazleton, PA 18201-5948
Phone (570) 454-5715

Other identifiers 1

IdentifierTypeStateIssuer
0017877850002MedicaidPA

National Provider Directory

National Provider Directory

Locations

20 N Laurel St
#2B
Hazleton, PA 18201
Phone (570) 454-5715

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1104126325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N LAUREL ST",
            "address_2": "2B",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015948",
            "telephone_number": "570-454-5715",
            "fax_number": "570-455-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N LAUREL ST",
            "address_2": "2B",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015948",
            "telephone_number": "570-454-5715",
            "fax_number": "570-455-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJIT M CHIKARMANE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "CHIKARMANE",
        "authorized_official_first_name": "AJIT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-454-5715",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD027889E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017877850002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.