Organization Active NPI

Bernard S Zoranski D O P C

  • Internal Medicine Physician
  • Glen Mills, PA
National Provider Identifier
1508865163
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BERNARD S ZORANSKI D O P C
Practice address
1788 Wilmington Pike
Suite 2400
Glen Mills, PA 19342-8181
Phone
(610) 358-9058
NPI assigned
Jul 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Janie Reinard
Title
Billing Agent
Phone
(570) 988-0925

Specialties & licenses 1

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

Addresses

Primary practice location

1788 Wilmington Pike
Suite 2400
Glen Mills, PA 19342-8181

Mailing address

PO Box 175
Northumberland, PA 17857-0175
Phone (570) 988-0925

Other identifiers 1

IdentifierTypeStateIssuer
0012037050001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090626000538 PA Part B Supplier - Clinic/Group Practice 4486705712 Receives reassigned benefits from 1 practitioner
Practice locations: Aston, PA; Glen Mills, PA

National Provider Directory

National Provider Directory

Locations

492 Conchester Hwy
Aston, PA 19014
Phone (610) 358-9058

1788 Wilmington W Chester Pike
Ste 2400
Glen Mills, PA 19342
Phone (610) 358-9058

Practitioners & affiliated clinicians

Practitioners 1

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": "1121558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508865163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 175",
            "city": "NORTHUMBERLAND",
            "state": "PA",
            "postal_code": "178570175",
            "telephone_number": "570-988-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1788 WILMINGTON PIKE",
            "address_2": "SUITE 2400",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193428181",
            "telephone_number": "610-358-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARD S ZORANSKI D O P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "REINARD",
        "authorized_official_first_name": "JANIE",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "570-988-0925"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012037050001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Mills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.