Organization Active NPI

Ephrata Family Practice Associates

  • Family Medicine Physician
  • Ephrata, PA
National Provider Identifier
1609949585
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD041289E Issued in PA
Legal business name
EPHRATA FAMILY PRACTICE ASSOCIATES
Practice address
44 Lancaster Ave.
Ephrata, PA 17522-1708
Phone
(717) 738-2468
Fax
(717) 738-9936
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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

Authorized official

Name
Edward Gabriel Camerino, M.D.
Title
Partner
Phone
(717) 738-2468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD041289E PA Primary

Addresses

Primary practice location

44 Lancaster Ave.
Ephrata, PA 17522-1708

Mailing address

44 Lancaster Ave.
Ephrata, PA 17522-1708
Phone (717) 738-2468

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1609949585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 LANCASTER AVE.",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221708",
            "telephone_number": "717-738-2468",
            "fax_number": "717-738-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 LANCASTER AVE.",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221708",
            "telephone_number": "717-738-2468",
            "fax_number": "717-738-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPHRATA FAMILY PRACTICE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "CAMERINO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "717-738-2468",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD041289E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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.