Allen S Nussbaum, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD-026982E Issued in PA

Practice address

2675 Joppa Rd
York, PA 17403-5160

Phone

(717) 741-9063

Fax

(717) 741-3634

NPI assigned

Jul 22, 2005

Last updated

Jul 12, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1538169263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 JOPPA RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174035160",
            "telephone_number": "717-741-9063",
            "fax_number": "717-741-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 JOPPA RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174035160",
            "telephone_number": "717-741-9063",
            "fax_number": "717-741-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSSBAUM",
        "first_name": "ALLEN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD-026982E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008731810003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirdi Nulliah, M.D
• Lydell D Nunn, D.C.
• Medina Salaam Nunn, MA CCC-SLP
• Nurture Behavioral Health LLC
• Alexandra Nusbaum
• Chiemeke Isioma Nwabueze, MD
• Chibuzo Nwigbo, NP
• Blake Nygaard
• John David O Brien, M.D.
• Kristin A O'Brien, PA-C

• Pediatrics Physician in York, PA
• Providers in York, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.