1821194606 NPI number — DRS ADLEN AND PINCIOTTI P.C.

Table of content: (NPI 1821194606)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821194606 NPI number — DRS ADLEN AND PINCIOTTI P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DRS ADLEN AND PINCIOTTI P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
MARK E. ADLEN D.O. P.C.
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821194606
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/21/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2192
Provider Second Line Business Mailing Address:
119 MILL ST.
Provider Business Mailing Address City Name:
BRISTOL
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19007-0992
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-785-0305
Provider Business Mailing Address Fax Number:
215-785-3081

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
119 MILL ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRISTOL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19007-4806
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-785-0305
Provider Business Practice Location Address Fax Number:
215-785-3081
Provider Enumeration Date:
09/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ADLEN
Authorized Official First Name:
MARK
Authorized Official Middle Name:
E
Authorized Official Title or Position:
DOCTOR
Authorized Official Telephone Number:
215-295-3685

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  OS002947L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0680209002 . This is a "KEYSTONE MORRISVILLE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 001435620000 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0680209000 . This is a "HIGHMARK BCBS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 462202 . This is a "HORIZON BCBS OF NJ" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 00452 . This is a "AETNA MORRISVILLE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1027004 . This is a "MERCY MORRISVILLE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0680209001 . This is a "KEYSTONE BRISTOL" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 3541606 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1006858 . This is a "MERCY BRISTOL" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 462202 . This is a "ROYAL INS COMPANY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 19474 . This is a "AETNA BRISTOL" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 278756 . This is a "NATIONWIDE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 6112541 . This is a "CIGNA HEALTHCARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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