Individual provider Active NPI

Charles Bobinis

  • Licensed Practical Nurse
  • Minersville, PA
National Provider Identifier
1245600188
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN275757 Issued in PA
Practice address
14 N Front St
Minersville, PA 17954-1435
Phone
(570) 399-5344
NPI assigned
Oct 5, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN275757 PA Primary

Addresses

Primary practice location

14 N Front St
Minersville, PA 17954-1435

Mailing address

14 N Front St
Minersville, PA 17954-1435
Phone (570) 399-5344

Other identifiers 1

IdentifierTypeStateIssuer
27971578OtherPADRIVERS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PN275757PAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1245600188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 N FRONT ST",
            "city": "MINERSVILLE",
            "state": "PA",
            "postal_code": "179541435",
            "telephone_number": "570-399-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 N FRONT ST",
            "city": "MINERSVILLE",
            "state": "PA",
            "postal_code": "179541435",
            "telephone_number": "570-399-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBINIS",
        "first_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN275757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "27971578",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minersville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.