Dudzinski Enterprises Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

005608 Issued in PA

Legal business name

DUDZINSKI ENTERPRISES INC

Practice address

115 E Main St
North East, PA 16428-1330

Phone

(814) 725-8774

Fax

(814) 725-2391

NPI assigned

Jan 16, 2007

Last updated

Dec 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Eric Dudzinski, D.O.NPI 1174580070

Title

Owner Physician

Phone

(814) 725-8774

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• North East Family Practice (Lab) Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Dudzinski Enterprises Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• North East Family Practice

  • Non-Pharmacy Dispensing Site
  • North East, PA
  • NPI 1003064924
  NPD tax ID

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.

• John Eric Dudzinski, D.O.

  • Family Medicine Physician
  • North East, PA
  • NPI 1174580070
  NPD (past) Authorized official

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1427100049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST",
            "city": "NORTH EAST",
            "state": "PA",
            "postal_code": "164281330",
            "telephone_number": "814-725-8774",
            "fax_number": "814-725-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST",
            "city": "NORTH EAST",
            "state": "PA",
            "postal_code": "164281330",
            "telephone_number": "814-725-8774",
            "fax_number": "814-725-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUDZINSKI ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "DUDZINSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "814-725-8774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "005608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015199710003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North East Family Practice (Lab)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dear Inc (Lakeview Estate Assisted Living Facility)
• Ruth Greto Dennis, M.A.
• Philip Charles Devore, D.O.
• Elizabeth Discher
• David William Doupe, M.D.
• Dudzinski Enterprises, Inc. (North East Family Practice)
• John Eric Dudzinski, D.O.
• Eckerd Corporation (Rite Aid Pharmacy 11006)
• Kevin Paul Eyerly Jr., RPH
• Betty Feltenberger, CMT

• Clinical Medical Laboratory in North East, PA
• Providers in North East, PA by specialty
• Clinical Medical Laboratory in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.