Northeastern Pennsylvania Cardiology Associates LLP

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

NORTHEASTERN PENNSYLVANIA CARDIOLOGY ASSOCIATES LLP

Practice address

667 N River St
Suite 201
Plains, PA 18705-1013

Phone

(570) 823-1111

Fax

(570) 824-9044

NPI assigned

Feb 9, 2007

Last updated

Aug 22, 2020By 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

Dr. John H Ellis IV, M.D.NPI 1316088669

Title

Physician Administrator

Phone

(570) 823-1111

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 8

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.

• John H Ellis, M.D.

  • Cardiovascular Disease Physician
  • Plains, PA
  • NPI 1316088669
  Medicare reassignment Care Compare group NPD Authorized official
• Kelsey Aciukewicz, CRNP

  • Nurse Practitioner
  • Wilkes Barre, PA
  • NPI 1245062165
  Medicare reassignment Care Compare group NPD
• Joseph Briskie Jr., DO

  • Cardiovascular Disease Physician
  • Wilkes Barre, PA
  • NPI 1548248396
  Medicare reassignment Care Compare group NPD
• David A Dalessandro, M.D.

  • Cardiovascular Disease Physician
  • Plains, PA
  • NPI 1538200720
  Medicare reassignment Care Compare group NPD
• Christopher Dominick Ellis, CRNP

  • Family Nurse Practitioner
  • Plains, PA
  • NPI 1366026361
  Medicare reassignment Care Compare group NPD
• Michael D Rupp, M.D., F.A.C.C.

  • Cardiovascular Disease Physician
  • Wilkes Barre, PA
  • NPI 1275663833
  Medicare reassignment Care Compare group NPD
• Kaci Wall, CRNP

  • Nurse Practitioner
  • Plains, PA
  • NPI 1467982876
  Medicare reassignment NPD
• Brianna Elizabeth Smoke, MSN, FNP-BC

  • Family Nurse Practitioner
  • Plains, PA
  • NPI 1336097732
  NPD

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043351281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 N RIVER ST",
            "address_2": "SUITE 201",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187051013",
            "telephone_number": "570-823-1111",
            "fax_number": "570-824-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 N RIVER ST",
            "address_2": "SUITE 201",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187051013",
            "telephone_number": "570-823-1111",
            "fax_number": "570-824-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN PENNSYLVANIA CARDIOLOGY ASSOCIATES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN ADMINISTRATOR",
        "authorized_official_telephone_number": "570-823-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGMARK BLUE SHIELD",
            "identifier": "365638",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1722207",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Nicoll, PTA
• NLS ABA Services LLC
• Northeast Pedorthic Services Inc
• Northeast Regional Anesthesia LLC
• Northeast Regional Surgery Center LLC
• Northland Hearing Centers, Inc. (Audibel Hearing Care Centers)
• James Noto
• Loriann J. O'Malia, RPH
• Charles J Obeid, RPH
• Valerie A Olszewski, MSPT

• Cardiovascular Disease Physician in Plains, PA
• Providers in Plains, PA by specialty
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.