NPIMap

Organization Active NPI

Mamerto M Lebita and Fuzen Chang PTRS

Doing business as Chang and Lebita MDs

  • General Practice Physician
  • Aston, PA
National Provider Identifier
1861701542
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD028559E Issued in PA
Legal business name
MAMERTO M LEBITA AND FUZEN CHANG PTRS
Doing business as
Chang and Lebita MDs
Practice address
5904 Chichester Ave
Aston, PA 19014-2327
Phone
(610) 459-2373
Fax
(610) 874-1337
NPI assigned
Sep 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Authorized official

Name
Dr. Lakambini D. Recla, MDNPI 1992734776
Title
Pediatrician
Phone
(610) 459-2373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X MD028559E PA Primary

Addresses

Primary practice location

5904 Chichester Ave
Aston, PA 19014-2327

Mailing address

5904 Chichester Ave
Aston, PA 19014-2327
Phone (610) 459-2373

Other identifiers 1

IdentifierTypeStateIssuer
MD059221LOtherPALICENSE NUMBER

Other names 1

  • Chang and Lebita MDs Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1861701542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 CHICHESTER AVE",
            "city": "ASTON",
            "state": "PA",
            "postal_code": "190142327",
            "telephone_number": "610-459-2373",
            "fax_number": "610-874-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5904 CHICHESTER AVE",
            "city": "ASTON",
            "state": "PA",
            "postal_code": "190142327",
            "telephone_number": "610-459-2373",
            "fax_number": "610-874-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMERTO M LEBITA AND FUZEN CHANG PTRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "RECLA",
        "authorized_official_first_name": "LAKAMBINI",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "610-459-2373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD028559E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MD059221L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chang and Lebita MDs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.