NPIMap

Organization Active NPI

St. Joseph's Center

  • Pediatric Skilled Nursing Facility
  • Scranton, PA
National Provider Identifier
1053779561
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
23864001 Issued in PA
Legal business name
ST. JOSEPH'S CENTER
Practice address
2013 Boulevard Ave
Scranton, PA 18509-1205
Phone
(570) 963-1276
Fax
(570) 558-2455
NPI assigned
Jan 29, 2016
Last updated
Jan 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Authorized official

Name
Suzanne Tolerico
Title
Billing Manager
Phone
(570) 963-1275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X 23864001 PA Primary

Addresses

Primary practice location

2013 Boulevard Ave
Scranton, PA 18509-1205

Mailing address

2010 Adams Ave
Scranton, PA 18509-1508
Phone (570) 963-1275

Other identifiers 1

IdentifierTypeStateIssuer
1000013880080MedicaidPA

National Provider Directory

National Provider Directory

Locations

2013 Boulevard Ave
Scranton, PA 18509
Phone (570) 963-1276

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1053779561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 ADAMS AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185091508",
            "telephone_number": "570-963-1275",
            "fax_number": "570-963-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 BOULEVARD AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185091205",
            "telephone_number": "570-963-1276",
            "fax_number": "570-558-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH'S CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "TOLERICO",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "570-963-1275"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "PA",
            "license": "23864001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000013880080",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.