NPIMap

Organization Active NPI

Maimonides Medical Center

  • General Acute Care Hospital
  • Swoyersville, PA
National Provider Identifier
1396130480
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
MAIMONIDES MEDICAL CENTER
Practice address
25 Gillespie St
Swoyersville, PA 18704-3005
Phone
(570) 954-4175
NPI assigned
Apr 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Authorized official

Name
Elizabeth Yetter, MD
Title
Resident
Phone
(570) 954-4175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

25 Gillespie St
Swoyersville, PA 18704-3005

Mailing address

25 Gillespie St
Swoyersville, PA 18704-3005
Phone (570) 954-4175

National Provider Directory

National Provider Directory
Tax ID family
New York Vascular Care PL27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1396130480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 GILLESPIE ST",
            "city": "SWOYERSVILLE",
            "state": "PA",
            "postal_code": "187043005",
            "telephone_number": "570-954-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 GILLESPIE ST",
            "city": "SWOYERSVILLE",
            "state": "PA",
            "postal_code": "187043005",
            "telephone_number": "570-954-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIMONIDES MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-06",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "YETTER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "RESIDENT",
        "authorized_official_telephone_number": "570-954-4175",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swoyersville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.