Organization Active NPI

Ambulatory Internal Medicine Clinic, PC

  • Internal Medicine Physician
  • Wilkes Barre, PA
National Provider Identifier
1730482225
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD056295L Issued in PA
Legal business name
AMBULATORY INTERNAL MEDICINE CLINIC, PC
Practice address
216 N River St
Suite # 650
Wilkes Barre, PA 18702-2532
Phone
(570) 270-7200
NPI assigned
Dec 6, 2010
Last updated
Dec 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Authorized official

Name
Dr. Adnan Saba, M.D
Title
President
Phone
(570) 270-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD056295L PA Primary

Addresses

Primary practice location

216 N River St
Suite # 650
Wilkes Barre, PA 18702-2532

Mailing address

216 N River St
Suite # 650
Wilkes Barre, PA 18702-2532
Phone (570) 270-7200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1730482225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N RIVER ST",
            "address_2": "SUITE # 650",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022532",
            "telephone_number": "570-270-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N RIVER ST",
            "address_2": "SUITE # 650",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022532",
            "telephone_number": "570-270-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY INTERNAL MEDICINE CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "SABA",
        "authorized_official_first_name": "ADNAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-270-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD056295L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.