Active NPI
Victor C Dy, MD
- Surgery Physician
- Easton, PA
National Provider Identifier
1841282233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD035392-L
- Practice address
- 3417 Bridlepath Rd
Easton, PA 18045-2009 - Phone
- (610) 442-2791
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD035392-L | PA | Primary |
Addresses
Primary practice location
3417 Bridlepath Rd
Easton, PA 18045-2009
Mailing address
3417 Bridlepath Rd
Easton, PA 18045-2009
Phone (610) 442-2791
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1019207990001 | Medicaid | PA | |
| 141482 | Other | PA | BLUE SHIELD |
| 2301000 | Other | PA | BLUE CROSS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD035392-L | PA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450051200000",
"number": "1841282233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3417 BRIDLEPATH RD",
"city": "EASTON",
"state": "PA",
"postal_code": "180452009",
"telephone_number": "610-442-2791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3417 BRIDLEPATH RD",
"city": "EASTON",
"state": "PA",
"postal_code": "180452009",
"telephone_number": "610-442-2791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DY",
"first_name": "VICTOR",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2015-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD035392-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1019207990001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "141482",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "2301000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Easton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.