Christopher D. Justofin,D.O.,P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS008405L Issued in PA

Legal business name

CHRISTOPHER D. JUSTOFIN,D.O.,P.C.

Practice address

106 Rotary Dr
W Hazleton, PA 18202-1182

Phone

(570) 455-2286

Fax

(570) 455-2336

NPI assigned

Jan 24, 2007

Last updated

Dec 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly O Justofin

Title

Office Manager

Phone

(570) 455-2286

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1659426948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ROTARY DR",
            "city": "W HAZLETON",
            "state": "PA",
            "postal_code": "182021182",
            "telephone_number": "570-455-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ROTARY DR",
            "city": "W HAZLETON",
            "state": "PA",
            "postal_code": "182021182",
            "telephone_number": "570-455-2286",
            "fax_number": "570-455-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER D. JUSTOFIN,D.O.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "JUSTOFIN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "570-455-2286"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS008405L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD I.D.",
            "identifier": "JU866998",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in W Hazleton, PA
• Providers in W Hazleton, 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 Dec 28, 2011; 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.