Active NPI
Khubchandani-Stasik-Rosen, PC
- Colon & Rectal Surgery Physician
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- Legal business name
- KHUBCHANDANI-STASIK-ROSEN, PC
- Practice address
- 1275 S Cedar Crest Blvd
Allentown, PA 18103-6207 - Phone
- (610) 433-7571
- Fax
- (610) 433-8075
- NPI assigned
- Apr 3, 2006
- Last updated
- Jun 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John J Stasik Jr., M.D.
- Title
- Partner, KSR, PC
- Phone
- (610) 433-7571
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | Primary |
Addresses
Primary practice location
1275 S Cedar Crest Blvd
Allentown, PA 18103-6207
Mailing address
1275 S Cedar Crest Blvd
Allentown, PA 18103-6207
Phone (610) 433-7571
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 074510 | Other | PA | BLUE SHIELD |
Other names 1
- KSR, PC
National Provider Directory
National Provider DirectoryLocations
1275 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 433-7571
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Colon & Rectal Surgery Physician
- Allentown, PA
- NPI 1861472227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213833600000",
"number": "1740242239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 S CEDAR CREST BLVD",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036207",
"telephone_number": "610-433-7571",
"fax_number": "610-433-8075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 S CEDAR CREST BLVD",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036207",
"telephone_number": "610-433-7571",
"fax_number": "610-433-8075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KHUBCHANDANI-STASIK-ROSEN, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-03",
"last_updated": "2008-06-19",
"status": "A",
"authorized_official_last_name": "STASIK",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PARTNER, KSR, PC",
"authorized_official_telephone_number": "610-433-7571",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "074510",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "KSR, PC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.