Active NPI
Alexander J Pinsky, MD
- Pediatrics Physician
- Carbondale, PA
National Provider Identifier
1669445755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD417682
- Practice address
- 141 Salem Ave Ste 302
Carbondale, PA 18407-2500 - Phone
- (570) 282-2031
- Fax
- (570) 282-2534
- NPI assigned
- Feb 9, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD417682 | PA | Primary |
| Pediatrics Physician | 208000000X | 208766-1 | NY |
Addresses
Primary practice location
141 Salem Ave Ste 302
Carbondale, PA 18407-2500
Mailing address
601 Park St
Honesdale, PA 18431-1445
Phone (570) 251-6641
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018711090007 | Medicaid | PA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 208766-1 | NY | MD | Pediatrics Physician |
| MD417682 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne Memorial Hospital | Past | Accepting new patients | |
| Wayne Memorial Community Health Centers | Pediatrics | Past | Accepting new patients |
| Whites Crossing Medical Group Inc | Pediatrics | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Carbondale, PA
- NPI 1902159619
Pediatrics
-
- General Acute Care Hospital
- Honesdale, PA
- NPI 1124026182
-
- Internal Medicine Physician
- Carbondale, PA
- NPI 1649242660
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1669445755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 PARK ST",
"city": "HONESDALE",
"state": "PA",
"postal_code": "184311445",
"telephone_number": "570-251-6641",
"fax_number": "570-253-8228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 SALEM AVE STE 302",
"city": "CARBONDALE",
"state": "PA",
"postal_code": "184072500",
"telephone_number": "570-282-2031",
"fax_number": "570-282-2534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINSKY",
"first_name": "ALEXANDER",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD417682",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "208766-1",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018711090007",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carbondale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.