Organization Active NPI

Dr Joseph W Bozek Jr PC

  • Podiatric Clinic/Center
  • Beaver, PA
National Provider Identifier
1881984508
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
SC002220L Issued in PA
Legal business name
DR JOSEPH W BOZEK JR PC
Practice address
336 College Ave
Beaver, PA 15009-2231
Phone
(724) 774-1525
Fax
(724) 774-0366
NPI assigned
Apr 14, 2011
Last updated
Oct 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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

Authorized official

Name
Dr. Joseph W Bozek Jr., DPMNPI 1851314439
Title
Owner
Phone
(724) 774-1525

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
Podiatric Clinic/Center 261QP1100X SC002220L PA Primary

Addresses

Primary practice location

336 College Ave
Beaver, PA 15009-2231

Mailing address

336 College Ave
Beaver, PA 15009-2231
Phone (724) 774-1525

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1881984508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 COLLEGE AVE",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092231",
            "telephone_number": "724-774-1525",
            "fax_number": "724-774-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 COLLEGE AVE",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092231",
            "telephone_number": "724-774-1525",
            "fax_number": "724-774-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOSEPH W BOZEK JR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "BOZEK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-774-1525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "PA",
            "license": "SC002220L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.