Organization Active NPI

M J a Healthcare of the Lehigh Valley P C

  • Specialist
  • Easton, PA
National Provider Identifier
1134470602
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD424898 Issued in PA
Legal business name
M J A HEALTHCARE OF THE LEHIGH VALLEY P C
Practice address
1104 Van Buren Rd
Suite 101
Easton, PA 18045-2030
Phone
(610) 438-4460
Fax
(610) 438-4473
NPI assigned
Sep 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Authorized official

Name
Dr. Mikhail Artamonov, M.D.
Title
President/MD
Phone
(610) 438-4460

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD424898 PA Primary
Point of Service 305S00000X MD424898 PA

Addresses

Primary practice location

1104 Van Buren Rd
Suite 101
Easton, PA 18045-2030

Mailing address

796 Seven Bridge Rd
East Stroudsburg, PA 18301-7940
Phone (570) 872-9800

National Provider Directory

National Provider Directory

Locations

1104 Van Buren Rd
Ste 101
Easton, PA 18045
Phone (610) 438-4460

NPI Registry JSON

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1134470602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "796 SEVEN BRIDGE RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183017940",
            "telephone_number": "570-872-9800",
            "fax_number": "570-872-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 VAN BUREN RD",
            "address_2": "SUITE 101",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452030",
            "telephone_number": "610-438-4460",
            "fax_number": "610-438-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M J A HEALTHCARE OF THE LEHIGH VALLEY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "ARTAMONOV",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_title_or_position": "PRESIDENT/MD",
        "authorized_official_telephone_number": "610-438-4460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD424898",
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "PA",
            "license": "MD424898",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.