Organization Active NPI

Philip S. Pinsker DPM PC

  • Podiatrist
  • Washington, PA
National Provider Identifier
1780675504
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC002080L Issued in PA
Legal business name
PHILIP S. PINSKER DPM PC
Practice address
853 Jefferson Ave
Washington, PA 15301-3870
Phone
(724) 225-7410
Fax
(724) 225-9469
NPI assigned
Nov 1, 2005
Last updated
Feb 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Mrs. Rebecca A. Pinsker
Title
Office Manager
Phone
(724) 225-7410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC002080L PA Primary

Addresses

Primary practice location

853 Jefferson Ave
Washington, PA 15301-3870

Mailing address

853 Jefferson Ave
Washington, PA 15301-3870
Phone (724) 225-7410

Other identifiers 2

IdentifierTypeStateIssuer
0012042660001MedicaidPA
441480931OtherPAMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Locations

853 Jefferson Ave
Washington, PA 15301
Phone (724) 225-6050

853 Jefferson Ave
Ste 2
Washington, PA 15301
Phone (724) 225-7410

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1780675504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 JEFFERSON AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013870",
            "telephone_number": "724-225-7410",
            "fax_number": "724-225-9469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 JEFFERSON AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013870",
            "telephone_number": "724-225-7410",
            "fax_number": "724-225-9469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP S. PINSKER DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "PINSKER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "724-225-7410",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002080L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012042660001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "441480931",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.