Ofer J Shustik MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OFER J SHUSTIK MD PC

Practice address

2101 Emrick Blvd
Suite 202
Bethlehem, PA 18020-8040

Phone

(610) 868-1836

Fax

(610) 868-1784

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Marjorie Louise Sickle

Title

Manager

Phone

(610) 868-1836

Specialties & licenses 1

Addresses

Other names 1

• Shustik Family Practice Doing business as

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407057748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 EMRICK BLVD",
            "address_2": "SUITE 202",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208040",
            "telephone_number": "610-868-1836",
            "fax_number": "610-868-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 EMRICK BLVD",
            "address_2": "SUITE 202",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208040",
            "telephone_number": "610-868-1836",
            "fax_number": "610-868-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFER J SHUSTIK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SICKLE",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "610-868-1836",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shustik Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julia Ocasio
• Occupational Health Centers of the Southwest, PA
• Elizabeth Jean Oconnor
• Yassar Odhejo
• Marissa Oertner, MA, LBS
• John Offermann
• Babatunde Adebayo Ogunnaike, M.D.
• Chaerim Oh
• Tony Ohanian, M.D.
• Alma Ohl, CRNP

• Family Medicine Physician in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.