Organization Active NPI

Victor C. Dy, M.D.P.C.

  • Surgery Physician
  • Easton, PA
National Provider Identifier
1376668509
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD035392-L Issued in PA
Legal business name
VICTOR C. DY, M.D.P.C.
Practice address
3735 Easton Nazareth Hwy
Suite 102
Easton, PA 18045-8338
Phone
(610) 252-0358
Fax
(610) 258-5424
NPI assigned
Mar 20, 2007
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
Victor C. Dy, M.D.
Title
Owner
Phone
(610) 252-0358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MD035392-L PA Primary

Addresses

Primary practice location

3735 Easton Nazareth Hwy
Suite 102
Easton, PA 18045-8338

Mailing address

3735 Easton Nazareth Hwy
Suite 102
Easton, PA 18045-8338
Phone (610) 252-0358

Other identifiers 1

IdentifierTypeStateIssuer
0006266810001MedicaidPA

National Provider Directory

National Provider Directory

Locations

3735 Nazareth Rd
Ste 102
Easton, PA 18045
Phone (610) 252-0358

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376668509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 EASTON NAZARETH HWY",
            "address_2": "SUITE 102",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180458338",
            "telephone_number": "610-252-0358",
            "fax_number": "610-258-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 EASTON NAZARETH HWY",
            "address_2": "SUITE 102",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180458338",
            "telephone_number": "610-252-0358",
            "fax_number": "610-258-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR C. DY, M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DY",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-252-0358",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD035392-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006266810001",
            "state": "PA"
        }
    ],
    "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 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.