Dr Peter Vaccaro MD Osm

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DR PETER VACCARO MD OSM

Practice address

55 Lakeside Drive
Bradford, PA 16701-2477

Phone

(646) 428-4800

NPI assigned

Oct 22, 2025

Organization subpart

No

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

Authorized official

Name

Peter Vaccaro, MDNPI 1942262563

Title

Owner

Phone

(646) 428-4800

Specialties & licenses 1

Addresses

Tax ID family

Dr Peter Vaccaro MD Osm2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr Peter Vaccaro MD Osm

  • Internal Medicine Physician
  • Bradford, PA
  • NPI 1386441608
  NPD tax ID

Practitioners 1

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

• Peter Vaccaro

  • Internal Medicine Physician
  • Bradford, PA
  • NPI 1942262563

  Internal Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1033086103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 LAKESIDE DRIVE",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167012477",
            "telephone_number": "646-428-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKESIDE DRIVE",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167012477",
            "telephone_number": "646-428-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PETER VACCARO MD OSM",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "VACCARO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-428-4800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Jack Deforno Jr., M.D.
• Frank James Denig, MSG000094
• Wendy Lynne Dennis, PA-C
• Ashley Lynn Disney, PA-C
• Kimberly Ann Ditz, CRNP
• Dr Peter Vaccaro MD Osm
• Dr. Edward P Epstein DPM
• Victoria Lynn Durlin, RPH
• Dva Healthcare Renal Care Inc
• Jera Marie Dynda, PHARM D

• All providers in Bradford, PA
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.