Active NPI
Pottsville Internists Associates
- Internal Medicine Physician
- Pottsville, PA
National Provider Identifier
1376753178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007356150001 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- Pottsville Internists Associates
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Pottsville, PA
- NPI 1710103171
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
- Pottsville Area Physical Therapy Services P.C.
- Pottsville Area School District
- Pottsville ENT, LLC
- Pottsville Family Dental
- Pottsville Hospitalist Associates
- Pottsville Internists Associates Inc
- Pottsville Internists Associates, Inc
- Pottsville Medical Services, LLC
- Pottsville Operations LLC
- Pottsville Oral Surgery, PC
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.