Organization Active NPI

Albert D. Janerich, MD

  • Physical Medicine & Rehabilitation Physician
  • West Pittston, PA
National Provider Identifier
1891705000
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ALBERT D. JANERICH, MD
Practice address
901 Wyoming Ave
West Pittston, PA 18643-2742
Phone
(570) 824-4111
Fax
(570) 824-3167
NPI assigned
Aug 9, 2006
Last updated
Feb 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
Dr. Albert Janerich, MDNPI 1336159508
Title
Owner
Phone
(570) 824-4111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

901 Wyoming Ave
West Pittston, PA 18643-2742

Mailing address

901 Wyoming Ave
West Pittston, PA 18643-2742
Phone (570) 824-4111

Other practice location 1

667 N River St
Plains, PA 18705-1013
Phone (570) 824-4111

Other identifiers 9

IdentifierTypeStateIssuer
1526634OtherPAGATEWAY
789835OtherPABLUE SHIELD
081097OtherPAFIRST PRIORITY HEALTH
506146OtherPAAETNA
0015473590006MedicaidPA
000000074260OtherPAUNISON
1145603OtherPAAMERIHEALTH MERCY
2193450OtherPAGEISINGER
CG9913OtherPARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100819001025 PA Part B Supplier - Clinic/Group Practice 6002896099 Receives reassigned benefits from 4 practitioners
Practice locations: West Pittston, PA

National Provider Directory

National Provider Directory

Locations

667 S River St
Plains, PA 18705
Phone (570) 824-4111

901 Wyoming Ave
West Pittston, PA 18643
Phone (570) 655-4505

Practitioners & affiliated clinicians

Practitioners 5

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": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1891705000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WYOMING AVE",
            "city": "WEST PITTSTON",
            "state": "PA",
            "postal_code": "186432742",
            "telephone_number": "570-824-4111",
            "fax_number": "570-824-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WYOMING AVE",
            "city": "WEST PITTSTON",
            "state": "PA",
            "postal_code": "186432742",
            "telephone_number": "570-824-4111",
            "fax_number": "570-824-3167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "667 N River St",
            "address_purpose": "LOCATION",
            "city": "Plains",
            "state": "PA",
            "postal_code": "187051013",
            "country_code": "US",
            "telephone_number": "570-824-4111",
            "fax_number": "570-824-3167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALBERT D. JANERICH, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "JANERICH",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-824-4111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1526634",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "789835",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "081097",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "506146",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015473590006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000074260",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY",
            "identifier": "1145603",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "2193450",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG9913",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Pittston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.