Geriatric Research & Consulting Group LLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

OS005253L Issued in PA

Legal business name

GERIATRIC RESEARCH & CONSULTING GROUP LLC

Practice address

1200 Aleeda Blvd
Bear Creek Township, PA 18702-9611

Phone

(570) 829-1095

NPI assigned

May 30, 2008

Last updated

Jul 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mario Cornacchione, D.ONPI 1194807503

Title

Owner

Phone

(570) 829-1095

Specialties & licenses 1

Addresses

Other names 1

• Northeast Pennsylvania Memory and Alzheimers Center Other name

Locations

Practitioners 1

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.

• Mario Cornacchione, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Allentown, PA
  • NPI 1194807503
  Authorized official Same address or phone

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1003074600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ALEEDA BLVD",
            "city": "BEAR CREEK TOWNSHIP",
            "state": "PA",
            "postal_code": "187029611",
            "telephone_number": "570-829-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ALEEDA BLVD",
            "city": "BEAR CREEK TOWNSHIP",
            "state": "PA",
            "postal_code": "187029611",
            "telephone_number": "570-829-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC RESEARCH & CONSULTING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "CORNACCHIONE",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-829-1095",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "OS005253L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Pennsylvania Memory and Alzheimers Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Allied Health Care Services (Allied Health Care Services-Bear Creek)
• Bear Creek Buck Township Ambulance Association
• Bear Creek Community Charter School
• Caitlin Ann Casey, LAT, ATC
• Stephanie Lilly, CRNP
• Leah Marie Popple, PSY.D.
• Restore Abundant Health LLC
• Robin A Rodeghiero
• Amanda L Sekusky, D.O.

• Geriatric Medicine (Family Medicine) Physician in Bear Creek Township, PA
• Providers in Bear Creek Township, PA by specialty
• Geriatric Medicine (Family Medicine) Physician in Pennsylvania

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