Organization Active NPI

Heritage Medical Group, LLP

Doing business as PA Neurological Associates

  • Neurology Physician
  • Lemoyne, PA
National Provider Identifier
1053550715
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
HERITAGE MEDICAL GROUP, LLP
Doing business as
PA Neurological Associates
Practice address
110 Lowther St
Lemoyne, PA 17043-2012
Phone
(717) 774-2202
Fax
(717) 774-2634
NPI assigned
Feb 19, 2009
Last updated
Apr 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Authorized official

Name
Dr. Joseph A. Cincotta, MD
Title
Medical Director
Phone
(717) 761-0208

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X PA Primary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X PA

Addresses

Primary practice location

110 Lowther St
Lemoyne, PA 17043-2012

Mailing address

3 Walnut St
Suite 206
Lemoyne, PA 17043-1168
Phone (717) 761-0208

Other identifiers 1

IdentifierTypeStateIssuer
1007580840015MedicaidPA

Other names 1

  • PA Neurological Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1053550715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WALNUT ST",
            "address_2": "SUITE 206",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431168",
            "telephone_number": "717-761-0208",
            "fax_number": "717-761-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LOWTHER ST",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170432012",
            "telephone_number": "717-774-2202",
            "fax_number": "717-774-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE MEDICAL GROUP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "CINCOTTA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "717-761-0208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007580840015",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PA Neurological Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lemoyne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.