NPIMap

Organization Active NPI

Luzerne Iu

  • Local Education Agency (LEA)
  • Kingston, PA
National Provider Identifier
1922197516
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
LUZERNE IU
Practice address
368 Tioga Ave
Kingston, PA 18704-5117
Phone
(570) 287-9681
Fax
(570) 287-5721
NPI assigned
Oct 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael M Ostrowski
Title
Executive Director
Phone
(570) 762-8884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X PA Primary

Addresses

Primary practice location

368 Tioga Ave
Kingston, PA 18704-5117

Mailing address

368 Tioga Ave
Kingston, PA 18704-5117
Phone (570) 287-9681

Other identifiers 1

IdentifierTypeStateIssuer
1000036690002MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Luzerne Intermediate Unit 182 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

368 Tioga Ave
Kingston, PA 18704
Phone (570) 287-9681

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922197516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 TIOGA AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045117",
            "telephone_number": "570-287-9681",
            "fax_number": "570-287-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 TIOGA AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045117",
            "telephone_number": "570-287-9681",
            "fax_number": "570-287-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUZERNE IU",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OSTROWSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-762-8884",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000036690002",
            "state": "PA"
        }
    ],
    "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 Aug 22, 2020; 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.