Miriam Shustik, MD, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD062421L Issued in PA

Legal business name

MIRIAM SHUSTIK, MD, PC

Practice address

203 Park Vista Ter
Allentown, PA 18104-4525

Phone

(610) 703-7244

NPI assigned

Mar 30, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Miriam Shustik, MD,PCNPI 1427062736

Title

Owner

Phone

(610) 703-7244

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4275/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miriam Shustik, MD

  • Family Medicine Physician
  • Bethlehem, PA
  • NPI 1427062736
  Medicare reassignment NPD Authorized official
• Catherine Teresa Caruso

  • Gerontology Nurse Practitioner
  • Allentown, PA
  • NPI 1518964907
  Medicare reassignment

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1649546946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 PARK VISTA TER",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044525",
            "telephone_number": "610-703-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 PARK VISTA TER",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044525",
            "telephone_number": "610-703-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRIAM SHUSTIK, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "SHUSTIK",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-703-7244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,PC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD062421L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Minekime, DDS
• Mark Minetola
• Danielle Mink, PHD
• Brooke Leigh Minnick, M.S. ED., NCC, LPC
• Mariela Miranda-Rodriguez, MA
• Zachary Daniel Mironov, DPM
• Kimberly Marie Mirro, MS
• Shahrukh A Mirza, MD
• Mark H Mishkin, MD
• Yehia Mishriki, MD

• Family Medicine Physician in Allentown, PA
• Providers in Allentown, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.