Organization Active NPI

Milford Internal Medicine Associates PC

  • Internal Medicine Physician
  • Milford, PA
National Provider Identifier
1508049362
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD068789L Issued in PA
Legal business name
MILFORD INTERNAL MEDICINE ASSOCIATES PC
Practice address
111 E Catherine St Ste 220
Milford, PA 18337-1348
Phone
(570) 296-2055
Fax
(570) 409-0044
NPI assigned
Dec 14, 2007
Last updated
Feb 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Dr. Ricardo Sequeira, M.D.NPI 1568490613
Title
Owner
Phone
(570) 296-2055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD068789L PA Primary

Addresses

Primary practice location

111 E Catherine St Ste 220
Milford, PA 18337-1348

Mailing address

111 E Catherine St Ste 220
PO Box 1614
Milford, PA 18337-1348
Phone (570) 296-2055

National Provider Directory

National Provider Directory

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": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1508049362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E CATHERINE ST STE 220",
            "address_2": "PO BOX 1614",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183371348",
            "telephone_number": "570-296-2055",
            "fax_number": "570-409-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E CATHERINE ST STE 220",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183371348",
            "telephone_number": "570-296-2055",
            "fax_number": "570-409-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILFORD INTERNAL MEDICINE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "SEQUEIRA",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-296-2055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD068789L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.