Active NPI
Adam Waldhorn, MSAOM
- Acupuncturist
- Scranton, PA
National Provider Identifier
1407375132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AK001219
- Practice address
- 5 Morgan Hwy Ste 4
Scranton, PA 18508-2641 - Phone
- (570) 344-3788
- Fax
- (570) 969-9280
- NPI assigned
- Sep 13, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AK001219 | PA | Primary |
Addresses
Primary practice location
5 Morgan Hwy Ste 4
Scranton, PA 18508-2641
Mailing address
6379 Sherwood Rd
Philadelphia, PA 19151-2521
Phone (310) 927-6259
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AK001219 | PA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Rehabilitation Associates, PC | Current | Accepting new patients |
Locations
5 Morgan Hwy
Ste 4
Scranton, PA 18508
Phone (570) 344-3788
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Scranton, PA
- NPI 1104878412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1407375132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6379 SHERWOOD RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191512521",
"telephone_number": "310-927-6259",
"fax_number": "310-927-6259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 MORGAN HWY STE 4",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185082641",
"telephone_number": "570-344-3788",
"fax_number": "570-969-9280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDHORN",
"first_name": "ADAM",
"name_prefix": "Mr.",
"credential": "MSAOM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-13",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "PA",
"license": "AK001219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.