Organization Active NPI

The Endocrine Office Incorporated

  • Endocrinology, Diabetes & Metabolism Physician
  • Whitehall, PA
National Provider Identifier
1013068121
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
THE ENDOCRINE OFFICE INCORPORATED
Practice address
3671 Crescent CT E
Whitehall, PA 18052-3400
Phone
(484) 664-7300
Fax
(484) 664-7301
NPI assigned
Jan 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Geraldo A Saavedra, M.D.NPI 1700861630
Title
Owner
Phone
(484) 664-7300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

3671 Crescent CT E
Whitehall, PA 18052-3400

Mailing address

3671 Crescent CT E
Whitehall, PA 18052-3400
Phone (484) 664-7300

Other identifiers 1

IdentifierTypeStateIssuer
0018081320005MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140403001488 PA Part B Supplier - Clinic/Group Practice 3173755287 Receives reassigned benefits from 2 practitioners
Practice locations: Whitehall, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1023814Endocrine Office, Inc, the3671 Crescent Court E, Whitehall, PA 18052Certificate of waiverMar 24, 2028

National Provider Directory

National Provider Directory

Locations

823 W Walnut St
Allentown, PA 18102

3671 Crescent Ct E
Whitehall, PA 18052
Phone (484) 664-7300

Practitioners & affiliated clinicians

Practitioners 3

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": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1013068121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3671 CRESCENT CT E",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180523400",
            "telephone_number": "484-664-7300",
            "fax_number": "484-664-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3671 CRESCENT CT E",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180523400",
            "telephone_number": "484-664-7300",
            "fax_number": "484-664-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ENDOCRINE OFFICE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "SAAVEDRA",
        "authorized_official_first_name": "GERALDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-664-7300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018081320005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.