Organization Active NPI

Easton Family Practice P.C

  • Family Medicine Physician
  • Easton, PA
National Provider Identifier
1437119294
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD421552 Issued in PA
Legal business name
EASTON FAMILY PRACTICE P.C
Practice address
1901 Hay Ter
Suite# 5
Easton, PA 18042-4650
Phone
(610) 438-4314
Fax
(610) 438-4315
NPI assigned
Mar 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Khaldoun Makhoul, MDNPI 1659468981
Title
Owner
Phone
(610) 438-4314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD421552 PA Primary

Addresses

Primary practice location

1901 Hay Ter
Suite# 5
Easton, PA 18042-4650

Mailing address

1901 Hay Ter
Suite# 5
Easton, PA 18042-4650
Phone (610) 438-4314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050914000371 PA Part B Supplier - Clinic/Group Practice 6305879057 Receives reassigned benefits from 1 practitioner
Practice locations: Easton, PA

National Provider Directory

National Provider Directory

Locations

1901 Hay Ter
Ste 5
Easton, PA 18042
Phone (610) 438-4314

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437119294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 HAY TER",
            "address_2": "SUITE# 5",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180424650",
            "telephone_number": "610-438-4314",
            "fax_number": "610-438-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 HAY TER",
            "address_2": "SUITE# 5",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180424650",
            "telephone_number": "610-438-4314",
            "fax_number": "610-438-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTON FAMILY PRACTICE P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAKHOUL",
        "authorized_official_first_name": "KHALDOUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-438-4314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD421552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • 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.
  • 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.