Organization Active NPI

West Lawn Podiatry Associates P.C.

  • Podiatrist
  • West Lawn, PA
National Provider Identifier
1487658852
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC004661L Issued in PA
Legal business name
WEST LAWN PODIATRY ASSOCIATES P.C.
Practice address
25 Stevens Ave
West Lawn, PA 19609-1424
Phone
(610) 678-4581
Fax
(610) 678-4599
NPI assigned
Jun 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Authorized official

Name
Paul C Lafata, D.P.M.NPI 1790785947
Title
Secretart
Phone
(610) 678-4581

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X SC004661L PA Primary

Addresses

Primary practice location

25 Stevens Ave
West Lawn, PA 19609-1424

Mailing address

25 Stevens Ave
West Lawn, PA 19609-1424
Phone (610) 678-4581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050420000708 PA Part B Supplier - Clinic/Group Practice 6507804580 Receives reassigned benefits from 1 practitioner
Practice locations: West Lawn, PA
O20100930056608 PA DME Supplier - Physician - Podiatry 6507804580 Practice locations: West Lawn, PA

National Provider Directory

National Provider Directory
Tax ID family
West Lawn Podiatry Assoc 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.

Locations

25 Stevens Ave
West Lawn, PA 19609
Phone (610) 678-4581

Practitioners & affiliated clinicians

Practitioners 3

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": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1487658852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 STEVENS AVE",
            "city": "WEST LAWN",
            "state": "PA",
            "postal_code": "196091424",
            "telephone_number": "610-678-4581",
            "fax_number": "610-678-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 STEVENS AVE",
            "city": "WEST LAWN",
            "state": "PA",
            "postal_code": "196091424",
            "telephone_number": "610-678-4581",
            "fax_number": "610-678-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST LAWN PODIATRY ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "LAFATA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SECRETART",
        "authorized_official_telephone_number": "610-678-4581",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC004661L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lawn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.