Provider Demographics
NPI:1952462053
Name:PIATOK ENDOCRINE PRACTICE LLC
Entity Type:Organization
Organization Name:PIATOK ENDOCRINE PRACTICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:PIATOK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-997-3220
Mailing Address - Street 1:900 TOWN CTR
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-5182
Mailing Address - Country:US
Mailing Address - Phone:215-997-3220
Mailing Address - Fax:215-997-6499
Practice Address - Street 1:900 TOWN CTR
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:PA
Practice Address - Zip Code:18901-5182
Practice Address - Country:US
Practice Address - Phone:215-997-3220
Practice Address - Fax:215-997-6499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD045014L207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5691070OtherAETNA
PAP00172416OtherRR MEDICARE ID #
PA30020814OtherKEYSTONE MERCY
PA1624792OtherIBC AND HIGHMARK
PA2303074000OtherIBC AND KHPE
PA431364OtherMEDICARE PROVIDER ID #
PA0135480000OtherIBC
PA3305525OtherUNITED HEALTH CARE
PA0155395502OtherAMERICHOICE
PA3582485OtherAETNA
PA431364OtherHIGHMARK
PAP2930846OtherOXFORD HEALTH
PA7135661OtherAETNA
PA2303074000OtherIBC AND KHPE
PA=========OtherDEVON
PA0155395502OtherAMERICHOICE