Active NPI
Emma Niznik
- Family Nurse Practitioner
- Pittston, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP030575
- Practice address
- 100 Keystone Ave Ste 108
Pittston, PA 18640-6104 - Phone
- (570) 288-6616
- NPI assigned
- Sep 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | SP030575 | PA | |
| Family Nurse Practitioner | 363LF0000X | SP030575 | PA | Primary |
Addresses
Primary practice location
100 Keystone Ave Ste 108
Pittston, PA 18640-6104
Mailing address
100 Keystone Ave Ste 108
Pittston, PA 18640-6104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3050 Hamilton Blvd
Suite 200
Allentown, PA 18103-3691
Phone (610) 435-9575
Hospital & facility affiliations
- Wilkes-Barre General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP030575 | PA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Womens Health Group LLC | Current | Accepting new patients | |
| Regional Women'S Health Group, LLC | Past | Accepting new patients |
Locations
3050 Hamilton Blvd
Ste 200
Allentown, PA 18103
Phone (610) 435-9575
919 Conestoga Rd
Ste 104
Bryn Mawr, PA 19010
Phone (610) 525-6400
100 Keystone Ave
Ste 108
Pittston, PA 18640
Phone (570) 288-6616
545 N River St
Ste 100
Wilkes Barre, PA 18702
Phone (570) 208-8800
Interoperability endpoints
- emma.niznik@axia.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Phoenixville, PA
- NPI 1750880118
-
- Obstetrics & Gynecology Physician
- Voorhees, NJ
- NPI 1548215536
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1255585303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1386461978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KEYSTONE AVE STE 108",
"city": "PITTSTON",
"state": "PA",
"postal_code": "186406104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 KEYSTONE AVE STE 108",
"city": "PITTSTON",
"state": "PA",
"postal_code": "186406104",
"telephone_number": "570-288-6616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIZNIK",
"first_name": "EMMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-24",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "PA",
"license": "SP030575",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP030575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.