Organization Active NPI

Stephen C Cenedella, PC

  • Internal Medicine Physician
  • Franklin, PA
National Provider Identifier
1003013699
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD013634E Issued in PA
Legal business name
STEPHEN C CENEDELLA, PC
Practice address
150 Prospect Ave
Franklin, PA 16323-2542
Phone
(814) 432-4744
Fax
(814) 432-8648
NPI assigned
Jun 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Authorized official

Name
Dr. Stephen Cenedella, MD
Title
Manager
Phone
(814) 432-4744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X MD013634E PA Primary

Addresses

Primary practice location

150 Prospect Ave
Franklin, PA 16323-2542

Mailing address

150 Prospect Ave
Franklin, PA 16323-2542
Phone (814) 432-4744

Other identifiers 2

IdentifierTypeStateIssuer
0007292950001MedicaidPA
0017006670001MedicaidPA

National Provider Directory

National Provider Directory

Locations

150 Prospect Ave
Franklin, PA 16323
Phone (814) 432-4744

150 Prospect Ave
Ste 102
Franklin, PA 16323
Phone (814) 432-3320

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1003013699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PROSPECT AVE",
            "city": "FRANKLIN",
            "state": "PA",
            "postal_code": "163232542",
            "telephone_number": "814-432-4744",
            "fax_number": "814-432-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PROSPECT AVE",
            "city": "FRANKLIN",
            "state": "PA",
            "postal_code": "163232542",
            "telephone_number": "814-432-4744",
            "fax_number": "814-432-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN C CENEDELLA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "CENEDELLA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "814-432-4744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD013634E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007292950001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017006670001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.