Active NPI
Twin Rivers Surgical Group, LLP
- Specialist
- Easton, PA
National Provider Identifier
1548218902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- TWIN RIVERS SURGICAL GROUP, LLP
- Practice address
- 3735 Easton Nazareth Hwy
Suite 203
Easton, PA 18045-8338 - Phone
- (610) 253-6201
- Fax
- (610) 258-4705
- NPI assigned
- May 5, 2006
- 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
- Ms. Judith Lynn Depalma, CMM
- Title
- Manager
- Phone
- (610) 253-6201
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
3735 Easton Nazareth Hwy
Suite 203
Easton, PA 18045-8338
Mailing address
3735 Easton Nazareth Hwy
Suite 203
Easton, PA 18045-8338
Phone (610) 253-6201
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02282400 | Other | PA | CAPITAL BLUE CROSS |
| 866601 | Other | PA | HIGHMARK BLUE SHIELD |
| 0016052290005 | Medicaid | PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Easton, PA
- NPI 1568422657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1548218902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3735 EASTON NAZARETH HWY",
"address_2": "SUITE 203",
"city": "EASTON",
"state": "PA",
"postal_code": "180458338",
"telephone_number": "610-253-6201",
"fax_number": "610-258-4705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3735 EASTON NAZARETH HWY",
"address_2": "SUITE 203",
"city": "EASTON",
"state": "PA",
"postal_code": "180458338",
"telephone_number": "610-253-6201",
"fax_number": "610-258-4705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TWIN RIVERS SURGICAL GROUP, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DEPALMA",
"authorized_official_first_name": "JUDITH",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "610-253-6201",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CMM"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "02282400",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "866601",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016052290005",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Easton, 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.