Organization Active NPI

Mohamed K. Tejpar, MD, PC

  • Internal Medicine Physician
  • New Castle, PA
National Provider Identifier
1831218247
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD035830L Issued in PA
Legal business name
MOHAMED K. TEJPAR, MD, PC
Practice address
2602 Wilmington Rd
Suite 208
New Castle, PA 16105-1537
Phone
(724) 658-6583
Fax
(724) 658-6081
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Dr. Mohamed K Tejpar, M.D.
Title
President
Phone
(724) 658-6583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD035830L PA Primary

Addresses

Primary practice location

2602 Wilmington Rd
Suite 208
New Castle, PA 16105-1537

Mailing address

2602 Wilmington Rd
Suite 208
New Castle, PA 16105-1537
Phone (724) 658-6583

Other identifiers 3

IdentifierTypeStateIssuer
1953188OtherPABLUE SHIELD
DG7894OtherPAMEDICARE TRAVELERS
0007308030004MedicaidPA

National Provider Directory

National Provider Directory

Locations

2602 Wilmington Rd
New Castle, PA 16105
Phone (724) 652-5505

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1831218247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 WILMINGTON RD",
            "address_2": "SUITE 208",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051537",
            "telephone_number": "724-658-6583",
            "fax_number": "724-658-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 WILMINGTON RD",
            "address_2": "SUITE 208",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051537",
            "telephone_number": "724-658-6583",
            "fax_number": "724-658-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMED K. TEJPAR, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "TEJPAR",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-658-6583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD035830L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1953188",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TRAVELERS",
            "identifier": "DG7894",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007308030004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.