Organization Active NPI

Laurel Highlands Internal Medicine PC

  • Internal Medicine Physician
  • Somerset, PA
National Provider Identifier
1154435873
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD429064 Issued in PA
Legal business name
LAUREL HIGHLANDS INTERNAL MEDICINE PC
Practice address
226 E Church Street
Somerset, PA 15501
Phone
(814) 443-1028
Fax
(814) 443-2910
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tanaya Nayak, MD
Title
President
Phone
(814) 443-1028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD429064 PA Primary

Addresses

Primary practice location

226 E Church Street
Somerset, PA 15501

Mailing address

226 E Church Street
Somerset, PA 15501
Phone (814) 443-1028

National Provider Directory

National Provider Directory

Locations

226 E Church St
Somerset, PA 15501
Phone (814) 443-1028

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154435873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 E CHURCH STREET",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "15501",
            "telephone_number": "814-443-1028",
            "fax_number": "814-443-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 E CHURCH STREET",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "15501",
            "telephone_number": "814-443-1028",
            "fax_number": "814-443-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL HIGHLANDS INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAYAK",
        "authorized_official_first_name": "TANAYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-443-1028",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD429064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.