Organization Active NPI

The Pottsville PA Endoscopy ASC, LLP (Crna)

  • Registered Nurse
  • Pottsville, PA
National Provider Identifier
1841438264
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
THE POTTSVILLE PA ENDOSCOPY ASC, LLP (CRNA)
Practice address
48 Tunnel Rd
Ste 103
Pottsville, PA 17901-3875
Phone
(570) 622-6520
Fax
(570) 622-6525
NPI assigned
Jan 22, 2009
Last updated
Jan 22, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
THE POTTSVILLE PA ENDOSCOPY ASC, LLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
Dr. Armit P Narula, MD
Title
Director
Phone
(570) 346-7797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X NU Primary

Addresses

Primary practice location

48 Tunnel Rd
Ste 103
Pottsville, PA 17901-3875

Mailing address

PO Box 390
Scranton, PA 18501-0390
Phone (570) 346-7797

Other identifiers 1

IdentifierTypeStateIssuer
1008496700001MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
The Pottsville Endo ASC LP2 organizations share this tax ID, including this one
Part of
The Pottsville Endo ASC LP

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1841438264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185010390",
            "telephone_number": "570-346-7797",
            "fax_number": "770-666-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 TUNNEL RD",
            "address_2": "STE 103",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013875",
            "telephone_number": "570-622-6520",
            "fax_number": "570-622-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE POTTSVILLE PA ENDOSCOPY ASC, LLP (CRNA)",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE POTTSVILLE PA ENDOSCOPY ASC, LLP",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "NARULA",
        "authorized_official_first_name": "ARMIT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "570-346-7797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008496700001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.