Active NPI
MDS Pennsylvania PC
- Internal Medicine Physician
- Williamsport, PA
National Provider Identifier
1932023652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MDS PENNSYLVANIA PC
- Practice address
- 1201 Rural Ave
Williamsport, PA 17701-1669 - Phone
- (917) 740-3853
- NPI assigned
- Aug 5, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shmuel Kohn
- Title
- Manager
- Phone
- (347) 631-6775
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1201 Rural Ave
Williamsport, PA 17701-1669
Mailing address
1201 Rural Ave
Williamsport, PA 17701-1669
National Provider Directory
National Provider Directory- Tax ID family
- MDS Pennsylvania PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Smethport, PA
- NPI 1528983780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785888000000",
"number": "1932023652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 RURAL AVE",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177011669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 RURAL AVE",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177011669",
"telephone_number": "917-740-3853"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MDS PENNSYLVANIA PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-05",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A",
"authorized_official_last_name": "KOHN",
"authorized_official_first_name": "SHMUEL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "347-631-6775"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.