Active NPI
Ronald R Strisofsky Jr., DDS
- Dentist
- Bethlehem, PA
National Provider Identifier
1639358542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS027404L
- Practice address
- 3835 Green Pond Rd
Northampton Community College
Bethlehem, PA 18020 - Phone
- (610) 861-5441
- Fax
- (610) 861-4139
- NPI assigned
- Oct 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS027404L | PA | Primary |
Addresses
Primary practice location
3835 Green Pond Rd
Northampton Community College
Bethlehem, PA 18020
Mailing address
3835 Green Pond Rd
Northampton Community College
Bethlehem, PA 18020
Phone (610) 861-5441
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77595 | Other | MED PLUS | |
| 0006453 | Other | AMERIHEALTH MERCY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150707000120 | PA | Order and Referring Only - Dentist | 7618289570 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS027404L | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193356800000",
"number": "1639358542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3835 GREEN POND RD",
"address_2": "NORTHAMPTON COMMUNITY COLLEGE",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "18020",
"telephone_number": "610-861-5441",
"fax_number": "610-861-4139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3835 GREEN POND RD",
"address_2": "NORTHAMPTON COMMUNITY COLLEGE",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "18020",
"telephone_number": "610-861-5441",
"fax_number": "610-861-4139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRISOFSKY",
"first_name": "RONALD",
"middle_name": "R",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-26",
"last_updated": "2007-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS027404L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MED PLUS",
"identifier": "77595",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY",
"identifier": "0006453",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.