Active NPI
Edward Ferkel, R.D.N. L.D.N.
- Registered Dietitian
- Kingston, PA
National Provider Identifier
1871928366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN005227
- Practice address
- 500 3Rd Ave
Kingston, PA 18704-5803 - Phone
- (570) 371-3572
- NPI assigned
- Sep 4, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN005227 | PA | Primary |
Addresses
Primary practice location
500 3Rd Ave
Kingston, PA 18704-5803
Mailing address
165 Watkins St
Swoyersville, PA 18704-3012
Phone (570) 574-8825
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN005227 | PA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466035200000",
"number": "1871928366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 WATKINS ST",
"city": "SWOYERSVILLE",
"state": "PA",
"postal_code": "187043012",
"telephone_number": "570-574-8825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 3RD AVE",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187045803",
"telephone_number": "570-371-3572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERKEL",
"first_name": "EDWARD",
"credential": "R.D.N. L.D.N.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-04",
"last_updated": "2016-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN005227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.