Individual provider Active NPI

Parimal Kumar Ghatak, M.D.

  • Pulmonary Disease Physician
  • Bethlehem, PA
National Provider Identifier
1770766503
Registry record updated Dec 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD 016258E Issued in PA
Practice address
3190 Chaucer LN
Bethlehem, PA 18017-2247
Phone
(610) 867-9297
NPI assigned
Dec 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MD 016258E PA Primary

Addresses

Primary practice location

3190 Chaucer LN
Bethlehem, PA 18017-2247

Mailing address

3190 Chaucer LN
Bethlehem, PA 18017-2247
Phone (610) 867-9297

Other identifiers 1

IdentifierTypeStateIssuer
0646352MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 016258EPAMDPulmonary Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1197676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197676800000",
    "number": "1770766503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 CHAUCER LN",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180172247",
            "telephone_number": "610-867-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 CHAUCER LN",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180172247",
            "telephone_number": "610-867-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHATAK",
        "first_name": "PARIMAL",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-15",
        "last_updated": "2007-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD 016258E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0646352",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2007; 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.