Individual provider Active NPI

Meredith Lynne Hellstern, MD

  • Pediatrics Physician
  • Honesdale, PA
National Provider Identifier
1669609962
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD448661 Issued in PA
Practice address
1837 Fair Ave
Honesdale, PA 18431-2121
Phone
(570) 253-5838
Fax
(570) 253-6678
NPI assigned
Jun 15, 2009
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD448661 PA Primary

Addresses

Primary practice location

1837 Fair Ave
Honesdale, PA 18431-2121

Mailing address

1837 Fair Ave
Honesdale, PA 18431-2121
Phone (570) 253-5838

Other practice location 1

27B Woodlands Dr
Waymart, PA 18472-9366
Phone (570) 488-9550

Other practice location 2

62 Industrial Park Rd
Lake Ariel, PA 18436-5606
Phone (570) 689-7565

Other practice location 3

510 Route 6 and 209 Ste 103
Milford, PA 18337-7615
Phone (570) 296-4901

Other identifiers 4

IdentifierTypeStateIssuer
1028220210002MedicaidPA
1028220210004MedicaidPA
1028220210001MedicaidPA
1028220210003MedicaidPA

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

LicenseStateTypeSpecialty
MD448661PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Practices of Northeastern PA Pediatrics Past Accepting new patients
Wayne Memorial Community Health Centers Pediatrics Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1669609962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1837 FAIR AVE",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184312121",
            "telephone_number": "570-253-5838",
            "fax_number": "570-253-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1837 FAIR AVE",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184312121",
            "telephone_number": "570-253-5838",
            "fax_number": "570-253-6678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27B Woodlands Dr",
            "address_purpose": "LOCATION",
            "city": "Waymart",
            "state": "PA",
            "postal_code": "184729366",
            "country_code": "US",
            "telephone_number": "570-488-9550",
            "fax_number": "570-488-9553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "62 Industrial Park Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Ariel",
            "state": "PA",
            "postal_code": "184365606",
            "country_code": "US",
            "telephone_number": "570-689-7565",
            "fax_number": "570-689-4803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 Route 6 and 209 Ste 103",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "PA",
            "postal_code": "183377615",
            "country_code": "US",
            "telephone_number": "570-296-4901",
            "fax_number": "570-296-5480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELLSTERN",
        "first_name": "MEREDITH",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD448661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028220210002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028220210004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028220210001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028220210003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honesdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.