Organization Active NPI

Pottsville Internists Associates

  • Internal Medicine Physician
  • Pottsville, PA
National Provider Identifier
1376753178
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
POTTSVILLE INTERNISTS ASSOCIATES
Practice address
106 S Claude a Lord Blvd
Pottsville, PA 17901-3637
Phone
(570) 622-4209
Fax
(570) 622-1386
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Authorized official

Name
Amrit Narula, MD
Title
President
Phone
(570) 622-4209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

106 S Claude a Lord Blvd
Pottsville, PA 17901-3637

Mailing address

106 S Claude a Lord Blvd
Pottsville, PA 17901-3637
Phone (570) 622-4209

Other identifiers 1

IdentifierTypeStateIssuer
1007356150001MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Pottsville Internists Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

106 S Claude a Lord Blvd
Pottsville, PA 17901
Phone (570) 622-4209

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1376753178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S CLAUDE A LORD BLVD",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013637",
            "telephone_number": "570-622-4209",
            "fax_number": "570-622-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S CLAUDE A LORD BLVD",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013637",
            "telephone_number": "570-622-4209",
            "fax_number": "570-622-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTTSVILLE INTERNISTS ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "NARULA",
        "authorized_official_first_name": "AMRIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-622-4209",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007356150001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.