Organization Active NPI

Internal Medicine Associates of Northwestern PA PC

  • Cardiovascular Disease Physician
  • Erie, PA
National Provider Identifier
1487851192
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD018905E Issued in PA
Legal business name
INTERNAL MEDICINE ASSOCIATES OF NORTHWESTERN PA PC
Practice address
2931 Peach STR
Erie, PA 16508-1842
Phone
(814) 456-6258
Fax
(814) 456-6258
NPI assigned
Jun 27, 2007
Last updated
Jun 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Authorized official

Name
Dr. Dilip K. Jana, MD
Title
President
Phone
(814) 456-6258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD018905E PA Primary

Addresses

Primary practice location

2931 Peach STR
Erie, PA 16508-1842

Mailing address

2931 Peach STR
Erie, PA 16508-1842
Phone (814) 456-6258

National Provider Directory

National Provider Directory

Locations

2931 Peach St
Erie, PA 16508
Phone (814) 456-6258

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1487851192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 PEACH STR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081842",
            "telephone_number": "814-456-6258",
            "fax_number": "814-456-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 PEACH STR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081842",
            "telephone_number": "814-456-6258",
            "fax_number": "814-456-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES OF NORTHWESTERN PA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "JANA",
        "authorized_official_first_name": "DILIP",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-456-6258",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD018905E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.