Pittston Medical Associates LTD.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

000417 Issued in PA

Legal business name

PITTSTON MEDICAL ASSOCIATES LTD.

Practice address

1099 S Township Blvd
Suite a
Pittston, PA 18640-3247

Phone

(570) 655-1495

Fax

(570) 655-6945

NPI assigned

Feb 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James R Bruno, MD

Title

Treasurer Officer

Phone

(570) 655-9107

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1720050487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 S TOWNSHIP BLVD",
            "address_2": "SUITE A",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186403247",
            "telephone_number": "570-655-1495",
            "fax_number": "570-655-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 S TOWNSHIP BLVD",
            "address_2": "SUITE A",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186403247",
            "telephone_number": "570-655-1495",
            "fax_number": "570-655-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTSTON MEDICAL ASSOCIATES LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "BRUNO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "TREASURER  OFFICER",
        "authorized_official_telephone_number": "570-655-9107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "000417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS/BLUE SHIELD",
            "identifier": "308237",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY LIFE INS C",
            "identifier": "308237",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pharmacy Corporation of America
• Iesha T Phelps
• Physical Therapy Center Unlimited
• Ashley Elizabeth Pierson
• Jacqueline Rose Pinto, PTA
• Pittston Medical Associates, LTD
• Pittston Township Ambulance Association
• Stephen Michael Pizzano, RPH
• Tyler Policht, M.D.
• Anthony J Polit

• All providers in Pittston, PA
• Clinical Medical Laboratory in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.

Verify at the official NPI Registry.