Organization Active NPI

Khubchandani-Stasik-Rosen, PC

  • Colon & Rectal Surgery Physician
  • Allentown, PA
National Provider Identifier
1740242239
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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.NPI 1861472227
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
074510OtherPABLUE SHIELD

Other names 1

  • KSR, PC Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.