NPIMap

Organization Active NPI

Carlos Fonseca Medical

  • Family Medicine Physician
  • Reading, PA
National Provider Identifier
1962656587
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD03459E Issued in PA
Legal business name
CARLOS FONSECA MEDICAL
Practice address
526 Penn St
Reading, PA 19602-1096
Phone
(610) 375-3000
Fax
(610) 372-8030
NPI assigned
Nov 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Authorized official

Name
Mrs. Joelle J Thomas
Title
Manager
Phone
(610) 375-7073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MD03459E PA Primary

Addresses

Primary practice location

526 Penn St
Reading, PA 19602-1096

Mailing address

526 Penn St
Reading, PA 19602-1096
Phone (610) 375-3000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1962656587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 PENN ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196021096",
            "telephone_number": "610-375-3000",
            "fax_number": "610-372-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 PENN ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196021096",
            "telephone_number": "610-375-3000",
            "fax_number": "610-372-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS FONSECA MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-10",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JOELLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "610-375-7073",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD03459E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.