Active NPI
Pulmonary Associates of Wyoming Valley Inc
- Pulmonary Disease Physician
- Kingston, PA
National Provider Identifier
1497809776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD022380E
- Legal business name
- PULMONARY ASSOCIATES OF WYOMING VALLEY INC
- Practice address
- 250 Pierce St
Suite 211
Kingston, PA 18704-5149 - Phone
- (570) 283-1107
- NPI assigned
- Jan 23, 2007
- 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
- Dr. Thomas J Delehanty, M.D.
- Title
- President
- Phone
- (570) 283-1107
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MD022380E | PA | Primary |
Addresses
Primary practice location
250 Pierce St
Suite 211
Kingston, PA 18704-5149
Mailing address
250 Pierce St
Suite 211
Kingston, PA 18704-5149
Phone (570) 283-1107
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001142341 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
2759 Memorial Hwy
Unit 482
Dallas, PA 18612
250 Pierce St
Ste 211
Kingston, PA 18704
Phone (570) 283-1107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316563200000",
"number": "1497809776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 PIERCE ST",
"address_2": "SUITE 211",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187045149",
"telephone_number": "570-283-1107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 PIERCE ST",
"address_2": "SUITE 211",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187045149",
"telephone_number": "570-283-1107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PULMONARY ASSOCIATES OF WYOMING VALLEY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2011-09-21",
"status": "A",
"authorized_official_last_name": "DELEHANTY",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "570-283-1107",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "PA",
"license": "MD022380E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001142341",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.