Active NPI
Joanne Lough, RN
- Registered Nurse
- Matamoras, PA
National Provider Identifier
1659544419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 454683
- Practice address
- 107 Avenue N
Matamoras, PA 18336-1417 - Phone
- (570) 491-4612
- Fax
- (570) 491-4001
- NPI assigned
- Apr 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 454683 | NY | Primary |
Addresses
Primary practice location
107 Avenue N
Matamoras, PA 18336-1417
Mailing address
107 Avenue N
Matamoras, PA 18336-1417
Phone (570) 491-4612
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02228302 | Medicaid | NY |
Other names 1
- Joanne Gostischa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 454683 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1659544419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 AVENUE N",
"city": "MATAMORAS",
"state": "PA",
"postal_code": "183361417",
"telephone_number": "570-491-4612",
"fax_number": "570-491-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 AVENUE N",
"city": "MATAMORAS",
"state": "PA",
"postal_code": "183361417",
"telephone_number": "570-491-4612",
"fax_number": "570-491-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUGH",
"first_name": "JOANNE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-11",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "454683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02228302",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOANNE",
"last_name": "GOSTISCHA",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Matamoras, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.