Nepa Family Practice PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NEPA FAMILY PRACTICE PLLC

Practice address

220 S River St
Plains, PA 18705-1137

Phone

(570) 824-8151

Fax

(570) 824-0111

NPI assigned

Apr 20, 2021

Organization subpart

No

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

Authorized official

Name

Kevin Carey, DONPI 1477643294

Title

Owner

Phone

(570) 824-8151

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 2

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

• Kevin James Carey, D.O.

  • Family Medicine Physician
  • Plains, PA
  • NPI 1477643294

  Family Medicine, PA

  Medicare reassignment Care Compare group NPD Authorized official
• Dustin Samuel Hobbs, PA-C

  • Surgical Physician Assistant
  • Wilkes Barre, PA
  • NPI 1417266255

  PA

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1205417151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S RIVER ST",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187051137",
            "telephone_number": "570-824-8151",
            "fax_number": "570-824-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S RIVER ST",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187051137",
            "telephone_number": "570-824-8151",
            "fax_number": "570-824-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPA FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-824-8151",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashleigh Miroslaw
• Matthew Montville, PHARM. D
• Traci Muracco
• Nicole Mykoliw
• Gary Paul Neale, MB CHB
• Nepa Support Solutions, Inc.
• Newhart Chiropractic Center
• Joseph D Newton-Pretko, DPT
• Jessica Nicoll, PTA
• NLS ABA Services LLC

• All providers in Plains, PA
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.