NPIMap

Organization Active NPI

Palmerton Pediatrics

  • Pediatrics Physician
  • Palmerton, PA
National Provider Identifier
1942565395
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD065630L Issued in PA
Legal business name
PALMERTON PEDIATRICS
Practice address
217 Franklin Ave
Palmerton, PA 18071-1521
Phone
(610) 826-1166
NPI assigned
Jul 11, 2012
Last updated
Jul 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Authorized official

Name
Dr. Mira Slizovsky
Title
Owner
Phone
(610) 826-1166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD065630L PA Primary

Addresses

Primary practice location

217 Franklin Ave
Palmerton, PA 18071-1521

Mailing address

217 Franklin Ave
Palmerton, PA 18071-1521
Phone (610) 826-1166

National Provider Directory

National Provider Directory
Tax ID family
Palmerton Pediatrics2 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.

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1942565395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 FRANKLIN AVE",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180711521",
            "telephone_number": "610-826-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 FRANKLIN AVE",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180711521",
            "telephone_number": "610-826-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMERTON PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "SLIZOVSKY",
        "authorized_official_first_name": "MIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-826-1166",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD065630L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmerton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.