NPIMap

Organization Active NPI

Northeast Pediatrics LLC

Doing business as Dr.L.Narayana Gajula & associates

  • Pediatrics Physician
  • Lehighton, PA
National Provider Identifier
1245438431
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD022461E Issued in PA
Legal business name
NORTHEAST PEDIATRICS LLC
Doing business as
Dr.L.Narayana Gajula & associates
Practice address
281 N 12TH St
Suite E
Lehighton, PA 18235-1101
Phone
(610) 377-6969
NPI assigned
Jul 10, 2007
Last updated
Jul 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Dr. L.Narayana Gajula, M.D.
Title
Owner
Phone
(610) 377-6969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD022461E PA Primary

Addresses

Primary practice location

281 N 12TH St
Suite E
Lehighton, PA 18235-1101

Mailing address

281 N 12TH St
Suite E
Lehighton, PA 18235-1101
Phone (610) 377-6969

Other identifiers 1

IdentifierTypeStateIssuer
00571402MedicaidPAMEDICAID

Other names 1

  • Dr.L.Narayana Gajula & associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1245438431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 N 12TH ST",
            "address_2": "SUITE E",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351101",
            "telephone_number": "610-377-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 N 12TH ST",
            "address_2": "SUITE E",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351101",
            "telephone_number": "610-377-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "GAJULA",
        "authorized_official_first_name": "L.NARAYANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-377-6969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD022461E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": "MEDICAID",
            "identifier": "00571402",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr.L.Narayana Gajula & associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lehighton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.