Active NPI
Janusz Wolanin MD
- Family Medicine Physician
- Nanticoke, PA
National Provider Identifier
1598816431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD039316L
- Legal business name
- JANUSZ WOLANIN MD
- Practice address
- 233 S Prospect St
Nanticoke, PA 18634-2443 - Phone
- (570) 735-0102
- NPI assigned
- Jan 16, 2007
- Last updated
- Aug 22, 2020
- 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
- Janusz Wolanin, MD
- Title
- Owner
- Phone
- (570) 735-0102
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD039316L | PA | Primary |
Addresses
Primary practice location
233 S Prospect St
Nanticoke, PA 18634-2443
Mailing address
233 S Prospect St
Nanticoke, PA 18634-2443
Phone (570) 735-0102
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Medicine Physician
- Nanticoke, PA
- NPI 1841283249
-
- Family Nurse Practitioner
- Nanticoke, PA
- NPI 1588918650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1598816431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 S PROSPECT ST",
"city": "NANTICOKE",
"state": "PA",
"postal_code": "186342443",
"telephone_number": "570-735-0102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 S PROSPECT ST",
"city": "NANTICOKE",
"state": "PA",
"postal_code": "186342443",
"telephone_number": "570-735-0102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JANUSZ WOLANIN MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WOLANIN",
"authorized_official_first_name": "JANUSZ",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "570-735-0102",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD039316L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nanticoke, 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.