Keystone Neurosensory Centers,LLC

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

KEYSTONE NEUROSENSORY CENTERS,LLC

Practice address

250 Pierce St
Suite 317
Kingston, PA 18704-5149

Phone

(570) 763-0054

Fax

(570) 763-0056

NPI assigned

Aug 7, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Diane Haberkern

Title

Office Manager

Phone

(570) 763-0054

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey B Becker, OD

  • Optometrist
  • Honesdale, PA
  • NPI 1568556918
  Medicare reassignment NPD
• Susan Fort Sordoni, MD

  • Family Medicine Physician
  • Kingston, PA
  • NPI 1770570459
  NPD (past)

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1417148289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PIERCE ST",
            "address_2": "SUITE 317",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045149",
            "telephone_number": "570-763-0054",
            "fax_number": "570-763-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PIERCE ST",
            "address_2": "SUITE 317",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045149",
            "telephone_number": "570-763-0054",
            "fax_number": "570-763-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE NEUROSENSORY CENTERS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "HABERKERN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "570-763-0054",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savanna Kennedy
• Robert A Kester, DDS
• Kevin Crouse, MD PC
• Kevin Thomas DPM PC
• Keystone Behavior Services, LLC
• Keystone Rehab Products LLC
• Sumaira Khan, M.D.
• Jeffery R Kile, MD
• Karen Kile, MSOT, OTR/L
• Chull Soo Kim, PH.D, TCM ., O.M.D.

• Electroneurodiagnostic Specialist/Technologist in Kingston, PA
• Providers in Kingston, PA by specialty
• Electroneurodiagnostic Specialist/Technologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.