Individual provider Active NPI

Maureen C Kozloski, MD

  • Internal Medicine Physician
  • Taylor, PA
National Provider Identifier
1124289046
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD043942E Issued in PA
Practice address
648 N Main St
Taylor, PA 18517-1112
Phone
(570) 348-1101
Fax
(570) 348-6194
NPI assigned
Jun 23, 2008
Last updated
Jun 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD043942E PA Primary

Addresses

Primary practice location

648 N Main St
Taylor, PA 18517-1112

Mailing address

648 N Main St
Taylor, PA 18517-1112
Phone (570) 348-1101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD043942EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Redi Care Physicians, Inc CurrentSince May 3, 2009 Accepting new patients

Locations

2461 Nazareth Rd
Easton, PA 18045
Phone (610) 252-1020

648 N Main St
Taylor, PA 18517
Phone (570) 348-1101

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1124289046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 N MAIN ST",
            "city": "TAYLOR",
            "state": "PA",
            "postal_code": "185171112",
            "telephone_number": "570-348-1101",
            "fax_number": "570-348-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 N MAIN ST",
            "city": "TAYLOR",
            "state": "PA",
            "postal_code": "185171112",
            "telephone_number": "570-348-1101",
            "fax_number": "570-348-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZLOSKI",
        "first_name": "MAUREEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD043942E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.