NPIMap

Organization Active NPI

Advanced Diagnostic Pathology Associates, LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Kittanning, PA
National Provider Identifier
1629141874
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
ADVANCED DIAGNOSTIC PATHOLOGY ASSOCIATES, LTD
Practice address
1 Nolte Dr
Kittanning, PA 16201-7111
Phone
(724) 543-8500
NPI assigned
Nov 16, 2006
Last updated
Oct 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Manju Nath, MDNPI 1346252012
Title
Pres
Phone
(245) 438-5000

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)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X Primary

Addresses

Primary practice location

1 Nolte Dr
Kittanning, PA 16201-7111

Mailing address

5700 Southwyck Blvd
Toledo, OH 43614-1509
Phone (800) 288-8325

Other practice location 1

1301 Carlisle St N
Alle Kiski Medical Center
Natrona Heights, PA 15065
Phone (724) 226-7066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070424000447 PA Part B Supplier - Clinic/Group Practice 5890890685 Receives reassigned benefits from 9 practitioners
Practice locations: Kittanning, PA; MC Kees Rocks, PA; Meadville, PA; Natrona Heights, PA; Sharon, PA
O20230518002512 OH Part B Supplier - Clinic/Group Practice 5890890685 Receives reassigned benefits from 4 practitioners
Practice locations: Warren, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1629141874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 SOUTHWYCK BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141509",
            "telephone_number": "800-288-8325",
            "fax_number": "419-866-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NOLTE DR",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017111",
            "telephone_number": "724-543-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Carlisle St N",
            "address_2": "Alle Kiski Medical Center",
            "address_purpose": "LOCATION",
            "city": "Natrona Heights",
            "state": "PA",
            "postal_code": "15065",
            "country_code": "US",
            "telephone_number": "724-226-7066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED DIAGNOSTIC PATHOLOGY ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "NATH",
        "authorized_official_first_name": "MANJU",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "245-438-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittanning, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.