NPIMap

Organization Active NPI

Incare LLC

  • Internal Medicine Physician
  • Berwick, PA
National Provider Identifier
1457377178
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INCARE LLC
Practice address
701 E 16TH St
Berwick, PA 18603-2316
Phone
(570) 208-5571
NPI assigned
Jul 14, 2006
Last updated
Feb 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Authorized official

Name
Mehdi Nikparvarfar, MD
Title
President
Phone
(570) 387-2119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

701 E 16TH St
Berwick, PA 18603-2316

Mailing address

415 N Main St
Wilkes Barre, PA 18702-4411
Phone (570) 208-5571

Other identifiers 1

IdentifierTypeStateIssuer
2762952MedicaidOH

National Provider Directory

National Provider Directory

Locations

1000 McKinley Park Dr
Marion, OH 43302
Phone (740) 383-8400

Practitioners & affiliated clinicians

Practitioners 44

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.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1457377178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N MAIN ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187024411",
            "telephone_number": "570-208-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 16TH ST",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186032316",
            "telephone_number": "570-208-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "NIKPARVARFAR",
        "authorized_official_first_name": "MEHDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-387-2119",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2762952",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwick, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.