NPIMap

Organization Active NPI

Dr Albin Susek

  • Dentist
  • Nanticoke, PA
National Provider Identifier
1679006936
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS019274L Issued in PA
Legal business name
DR ALBIN SUSEK
Practice address
824 E Main St
Nanticoke, PA 18634-1832
Phone
(570) 735-4005
Fax
(570) 735-4005
NPI assigned
Apr 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Dr. Albin F Susek, DDS
Title
Dentist
Phone
(570) 735-4005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS019274L PA Primary

Addresses

Primary practice location

824 E Main St
Nanticoke, PA 18634-1832

Mailing address

824 E Main St
Nanticoke, PA 18634-1832
Phone (570) 735-4005

National Provider Directory

National Provider Directory

Locations

824 E Main St
Nanticoke, PA 18634
Phone (570) 735-4005

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1679006936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 E MAIN ST",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186341832",
            "telephone_number": "570-735-4005",
            "fax_number": "570-735-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 E MAIN ST",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186341832",
            "telephone_number": "570-735-4005",
            "fax_number": "570-735-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ALBIN SUSEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "SUSEK",
        "authorized_official_first_name": "ALBIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "570-735-4005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS019274L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanticoke, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.