NPIMap

Organization Active NPI

Northeast Wound

  • Foot & Ankle Surgery Podiatrist
  • Pen Argyl, PA
National Provider Identifier
1699079905
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC002906L Issued in PA
Legal business name
NORTHEAST WOUND
Practice address
215 South Robinson Avenue
Pen Argyl, PA 18072-1946
Phone
(610) 881-4025
Fax
(610) 881-4066
NPI assigned
Dec 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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

Authorized official

Name
Dr. John S Starinski Jr., DPM
Title
President
Phone
(610) 881-4025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X SC002906L PA Primary

Addresses

Primary practice location

215 South Robinson Avenue
Pen Argyl, PA 18072-1946

Mailing address

PO Box 241
Delaware Water Gap, PA 18327-0241
Phone (610) 881-4025

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1699079905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241",
            "city": "DELAWARE WATER GAP",
            "state": "PA",
            "postal_code": "183270241",
            "telephone_number": "610-881-4025",
            "fax_number": "610-881-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SOUTH ROBINSON AVENUE",
            "city": "PEN ARGYL",
            "state": "PA",
            "postal_code": "180721946",
            "telephone_number": "610-881-4025",
            "fax_number": "610-881-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST WOUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "STARINSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-881-4025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC002906L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pen Argyl, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.