Organization Active NPI

Laureldale Family Medicine, PC

  • Family Medicine Physician
  • Laureldale, PA
National Provider Identifier
1497776207
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LAURELDALE FAMILY MEDICINE, PC
Practice address
3212 Kutztown Rd
Laureldale, PA 19605-2661
Phone
(610) 929-3380
Fax
(610) 685-9290
NPI assigned
Jul 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William SantoroNPI 1326081241
Title
Owner, President
Phone
(610) 929-3380

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3212 Kutztown Rd
Laureldale, PA 19605-2661

Mailing address

3212 Kutztown Rd
Laureldale, PA 19605-2661
Phone (610) 929-3380

National Provider Directory

National Provider Directory

Locations

3212 Kutztown Rd
Reading, PA 19605
Phone (610) 816-2060

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": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497776207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 KUTZTOWN RD",
            "city": "LAURELDALE",
            "state": "PA",
            "postal_code": "196052661",
            "telephone_number": "610-929-3380",
            "fax_number": "610-685-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 KUTZTOWN RD",
            "city": "LAURELDALE",
            "state": "PA",
            "postal_code": "196052661",
            "telephone_number": "610-929-3380",
            "fax_number": "610-685-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURELDALE FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTORO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "610-929-3380",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laureldale, PA

Sources for this page

  • 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.