Active NPI
Stratum of Pennsylvania PC
- Nurse Practitioner
- Bangor, PA
National Provider Identifier
1487558078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- STRATUM OF PENNSYLVANIA PC
- Practice address
- 55 Broadway
Bangor, PA 18013-2665 - Phone
- (484) 276-3277
- NPI assigned
- Oct 6, 2026
- Last updated
- Oct 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Justin William Kleppe, FNP
- Title
- Owner
- Phone
- (484) 276-3277
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NU | Primary |
Addresses
Primary practice location
55 Broadway
Bangor, PA 18013-2665
Mailing address
55 Broadway
Bangor, PA 18013-2665
Phone (484) 276-3277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791244800000",
"number": "1487558078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 BROADWAY",
"city": "BANGOR",
"state": "PA",
"postal_code": "180132665",
"telephone_number": "484-276-3277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 BROADWAY",
"city": "BANGOR",
"state": "PA",
"postal_code": "180132665",
"telephone_number": "484-276-3277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRATUM OF PENNSYLVANIA PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-06",
"last_updated": "2026-10-06",
"certification_date": "2026-10-06",
"status": "A",
"authorized_official_last_name": "KLEPPE",
"authorized_official_first_name": "JUSTIN",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "484-276-3277",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bangor, PA
- St Luke's Physician Group, Inc (St. Luke's Bangor Primary Care)
- St. Luke's Physician Group, Inc. (St. Luke's Internal Medicine Bangor)
- Beth Ann Sterner
- Scott Michael Stouffer, PTA
- Stratum of PA PC
- Alexander Szoke-Benton
- Ruthanne Taggart, MSW, CADC
- Vaghenag Vahe Tarpinian, MD
- Norman Douglas Thatcher, PTA/COTA
- Therapyworks for Kids
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.