Northeast Critical Care LTD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

NORTHEAST CRITICAL CARE LTD

Practice address

229 W Broad Street
Tamaqua, PA 18252

Phone

(570) 657-1634

NPI assigned

Jun 4, 2022

Organization subpart

Yes

Parent organization

NORTHEAST CRITICAL CARE LTDAs reported in NPPES

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

Authorized official

Name

Mr. David B Kasprzak, MSN FNP-BCNPI 1043654197

Title

Ceo

Phone

(570) 657-1634

Specialties & licenses 2

Addresses

Other names 1

• Valley Primary Care Doing business as

Tax ID family

Northeast Critical Care LTD3 organizations share this tax ID, including this one

Part of

Northeast Critical Care LTD

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Northeast Critical Care Clinical Labs

  • Clinical Medical Laboratory
  • Tamaqua, PA
  • NPI 1942949177
  NPD tax ID
• Northeast Critical Care LTD

  • Family Medicine Physician
  • Tamaqua, PA
  • NPI 1992442255
  NPD tax ID

Practitioners 1

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

• David B Kasprzak, CRNP

  • Family Nurse Practitioner
  • Tamaqua, PA
  • NPI 1043654197
  NPD (past) Authorized official

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

{
    "created_epoch": "1654300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1124767355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 W BROAD STREET",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "18252",
            "telephone_number": "570-657-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 W BROAD STREET",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "18252",
            "telephone_number": "570-657-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST CRITICAL CARE LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHEAST CRITICAL CARE LTD",
        "enumeration_date": "2022-06-04",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "KASPRZAK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-657-1634",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSN FNP-BC"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Michael Miller, DO
• Joyce Minehan, OTR/L
• Lisa Marie Nallon, PHARMD
• Donald A Newman, MD
• Northeast Critical Care Clinical Labs
• Northeast Critical Care LTD
• Rebecca Jean Odorizzi, D.O.
• Ophthalmic Partners of Pennsylvania, PC
• Joseph S Pancher, OD
• Cassandra J Pastier, OD

• General Practice Physician in Tamaqua, PA
• Providers in Tamaqua, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.