NPIMap

Organization Active NPI

New Starts

  • Internal Medicine Physician
  • Erie, PA
National Provider Identifier
1619370731
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD032321E Issued in PA
Legal business name
NEW STARTS
Practice address
2409 State St
Floor 2
Erie, PA 16503-1856
Phone
(814) 459-0585
NPI assigned
Oct 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Stan F Slabic, M.D.
Title
Owner
Phone
(814) 459-0585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD032321E PA Primary

Addresses

Primary practice location

2409 State St
Floor 2
Erie, PA 16503-1856

Mailing address

2409 State St
Floor 2
Erie, PA 16503-1856
Phone (814) 459-0585

Other identifiers 1

IdentifierTypeStateIssuer
1026334450001MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1619370731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 STATE ST",
            "address_2": "FLOOR 2",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165031856",
            "telephone_number": "814-459-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 STATE ST",
            "address_2": "FLOOR 2",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165031856",
            "telephone_number": "814-459-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW STARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "SLABIC",
        "authorized_official_first_name": "STAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-459-0585",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD032321E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026334450001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.