Organization Active NPI

Mark a Gonsky DO

  • General Practice Physician
  • Mountain Top, PA
National Provider Identifier
1740428689
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OSOO51O5L Issued in PA
Legal business name
MARK A GONSKY DO
Practice address
111 S Mountain Blvd
Mountain Top, PA 18707-1921
Phone
(570) 403-5000
Fax
(570) 693-6178
NPI assigned
Jan 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Authorized official

Name
Dr. Mark Gonsky, DO
Title
Physican
Phone
(570) 403-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X OSOO51O5L PA Primary

Addresses

Primary practice location

111 S Mountain Blvd
Mountain Top, PA 18707-1921

Mailing address

59 Loop Rd
Mountain Top, PA 18707-1778
Phone (570) 403-5000

National Provider Directory

National Provider Directory

Locations

111 S Mountain Blvd
Mountain Top, PA 18707
Phone (570) 403-5000

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1740428689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 LOOP RD",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187071778",
            "telephone_number": "570-403-5000",
            "fax_number": "570-693-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S MOUNTAIN BLVD",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187071921",
            "telephone_number": "570-403-5000",
            "fax_number": "570-693-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A GONSKY DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "GONSKY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "570-403-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PA",
            "license": "OSOO51O5L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Top, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.