Individual provider Active NPI

Robert J. Morton, M.D.

  • Pediatrics Physician
  • Lake Ariel, PA
National Provider Identifier
1780667097
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD031258E Issued in PA
Practice address
62 Industrial Park Road
Lake Ariel, PA 18436
Phone
(570) 689-7565
Fax
(570) 689-4803
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD031258E PA Primary

Addresses

Primary practice location

62 Industrial Park Road
Lake Ariel, PA 18436

Mailing address

1837 Fair Ave
Honesdale, PA 18431-2121
Phone (570) 253-5838

Other practice location 1

27B Woodlands Dr
Waymart, PA 18472-9366
Phone (570) 488-9550

Other practice location 2

1837 Fair Ave
Honesdale, PA 18431-2121
Phone (570) 253-5838

Other practice location 3

510 Route 6 and 209 Ste 103
Milford, PA 18337-7615
Phone (570) 296-4901

Other identifiers 4

IdentifierTypeStateIssuer
0009655600013MedicaidPA
0009655600011MedicaidPA
0009655600012MedicaidPA
0009655600007MedicaidPA

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
MD031258EPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Practices of Northeastern PA Pediatrics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1780667097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1837 FAIR AVE",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184312121",
            "telephone_number": "570-253-5838",
            "fax_number": "570-253-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 INDUSTRIAL PARK ROAD",
            "city": "LAKE ARIEL",
            "state": "PA",
            "postal_code": "18436",
            "telephone_number": "570-689-7565",
            "fax_number": "570-689-4803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27B Woodlands Dr",
            "address_purpose": "LOCATION",
            "city": "Waymart",
            "state": "PA",
            "postal_code": "184729366",
            "country_code": "US",
            "telephone_number": "570-488-9550",
            "fax_number": "570-488-9553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1837 Fair Ave",
            "address_purpose": "LOCATION",
            "city": "Honesdale",
            "state": "PA",
            "postal_code": "184312121",
            "country_code": "US",
            "telephone_number": "570-253-5838",
            "fax_number": "570-253-6678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 Route 6 and 209 Ste 103",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "PA",
            "postal_code": "183377615",
            "country_code": "US",
            "telephone_number": "570-296-4901",
            "fax_number": "570-296-5480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORTON",
        "first_name": "ROBERT",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD031258E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009655600013",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009655600011",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009655600012",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009655600007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Ariel, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.