NPIMap

Organization Active NPI

Ali a Alley MD PC

Doing business as Alley Medical Center

  • Family Medicine Physician
  • Berwick, PA
National Provider Identifier
1962479717
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALI A ALLEY MD PC
Doing business as
Alley Medical Center
Practice address
301W 3Rd Street
Berwick, PA 18603
Phone
(570) 759-0351
Fax
(570) 759-1992
NPI assigned
Mar 1, 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
Dr. Albert Joseph Alley, DONPI 1417924267
Title
Owner Medical Director
Phone
(570) 759-0351

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

301W 3Rd Street
Berwick, PA 18603

Mailing address

301W 3Rd Street
Berwick, PA 18603
Phone (570) 759-0351

Other identifiers 2

IdentifierTypeStateIssuer
03161300OtherBC
1007302700004MedicaidPA

Other names 1

  • Alley Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

301 W 3rd St
Berwick, PA 18603
Phone (570) 759-0351

50 Moisey Dr
Ste 101
Hazle Township, PA 18202
Phone (570) 459-2226

Practitioners & affiliated clinicians

Practitioners 3

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": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962479717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301W 3RD STREET",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "18603",
            "telephone_number": "570-759-0351",
            "fax_number": "570-759-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301W 3RD STREET",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "18603",
            "telephone_number": "570-759-0351",
            "fax_number": "570-759-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI A ALLEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEY",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "570-759-0351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "03161300",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007302700004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alley Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berwick, 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.