NPIMap

Individual provider Active NPI

Miriam Shustik, MD

  • Family Medicine Physician
  • Bethlehem, PA
National Provider Identifier
1427062736
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD062421L Issued in PA
Practice address
2101 Emrick Blvd
Suite 202
Bethlehem, PA 18020-8040
Phone
(610) 868-1836
NPI assigned
Jul 29, 2006
Last updated
Nov 14, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD062421L PA Primary

Addresses

Primary practice location

2101 Emrick Blvd
Suite 202
Bethlehem, PA 18020-8040

Mailing address

2101 Emrick Blvd
Suite 202
Bethlehem, PA 18020-8040
Phone (610) 868-1836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060403000086 PA Practitioner - Family Practice 9739196056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H2 Rehabilitation Extension Services LLCGroup PAC ID 6406131622, shared by 5 NPIs, 161 clinicians

Practice addresses (Care Compare)

137 Montgomery Ave
Boyertown, PA 19512-1300
Phone (484) 658-3150

313 S Walnut St
Bath, PA 18014-1024
Phone (484) 425-0297

7 S New St
Nazareth, PA 18064-2225
Phone (610) 755-8634

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Miriam Shustik, MD, PC Family Medicine CurrentSince May 1, 2012 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4275/brand/1/csg/1/fhir/r4
  • Direct secure messaging: miriam.shustik.1@4275.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1427062736",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUSTIK",
        "first_name": "MIRIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD062421L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.