Active NPI
Susquehanna Pathology and Laboratory Consultants, PC
- Anatomic Pathology & Clinical Pathology Physician
- Berwick, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- SUSQUEHANNA PATHOLOGY AND LABORATORY CONSULTANTS, PC
- Practice address
- 701 E 16TH St
Berwick, PA 18603-2316 - Phone
- (570) 288-8881
- Fax
- (570) 288-8065
- NPI assigned
- Nov 21, 2005
- Last updated
- Jul 14, 2021
- 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
- Dr. Husam Hamati, MD
- Title
- MD
- Phone
- (570) 759-5000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | NU | ||
| Dermatopathology (Pathology) Physician | 207ZD0900X | NU | ||
| Hematology (Pathology) Physician | 207ZH0000X | NU | ||
| Immunopathology Physician | 207ZI0100X | NU | ||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | NU | Primary | |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | NU |
Addresses
Primary practice location
701 E 16TH St
Berwick, PA 18603-2316
Mailing address
PO Box 1645
Kingston, PA 18704-0645
Phone (570) 288-8881
National Provider Directory
National Provider DirectoryLocations
701 E 16th St
Berwick, PA 18603
Phone (570) 754-5000
5950 Sr 6
#8W
Tunkhannock, PA 18657
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anatomic Pathology & Clinical Pathology Physician
- Berwick, PA
- NPI 1528069291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626220800000",
"number": "1396728648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1645",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187040645",
"telephone_number": "570-288-8881",
"fax_number": "570-288-8065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E 16TH ST",
"city": "BERWICK",
"state": "PA",
"postal_code": "186032316",
"telephone_number": "570-288-8881",
"fax_number": "570-288-8065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSQUEHANNA PATHOLOGY AND LABORATORY CONSULTANTS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-21",
"last_updated": "2021-07-14",
"certification_date": "2021-07-14",
"status": "A",
"authorized_official_last_name": "HAMATI",
"authorized_official_first_name": "HUSAM",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "570-759-5000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207ZI0100X",
"taxonomy_group": "",
"desc": "Pathology, Immunopathology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berwick, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.