Penn Neurology and Psychiatry Associates, PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD052377L Issued in PA

Legal business name

PENN NEUROLOGY AND PSYCHIATRY ASSOCIATES, PC

Practice address

10 1/2 South Mountain Boulevard
Mountain Top, PA 18707

Phone

(570) 474-6001

Fax

(886) 269-6004

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Iqbal Khan, MD

Title

President

Phone

(570) 474-6001

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Penn Neurology and Psychiatry Associates PC2 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.

• Penn Neurology and Psychiatry Associates, PC

  • Specialist
  • Moosic, PA
  • NPI 1629174842
  NPD tax ID

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467547208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 1/2 SOUTH MOUNTAIN BOULEVARD",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "18707",
            "telephone_number": "570-474-6001",
            "fax_number": "886-269-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 1/2 SOUTH MOUNTAIN BOULEVARD",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "18707",
            "telephone_number": "570-474-6001",
            "fax_number": "886-269-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN NEUROLOGY AND PSYCHIATRY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "IQBAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-474-6001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": "MD065153L",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD052377L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011631480001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orloski Physical Therapy LLC
• Jeffrey Orloski, PT, DPT
• Sandip G Patel, RPH
• Chris A Patestos, MD
• Peak Mobility Physical Therapy
• Joanne M Petro, PA C
• Shauna Marie Phillips, PT, DPT
• Jennifer Kristen Pitoniak, LSW
• Natia Potter, M.D.,
• Joanne Powell-Smith, LCSW

• Neurology Physician in Mountain Top, PA
• Providers in Mountain Top, PA by specialty
• Neurology Physician in Pennsylvania

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.