Organization Active NPI

Baca Pediatrics

  • Pediatrics Physician
  • Ephrata, PA
National Provider Identifier
1073576831
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
BACA PEDIATRICS
Practice address
159 N Reading Rd
Ephrata, PA 17522-1671
Phone
(717) 733-0790
Fax
(717) 733-1802
NPI assigned
Apr 11, 2006
Last updated
Jul 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Authorized official

Name
Dr. Giuseppe Lancellotti, MDNPI 1982660445
Title
Business Owner
Phone
(717) 733-0790

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
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

159 N Reading Rd
Ephrata, PA 17522-1671

Mailing address

159 N Reading Rd
Ephrata, PA 17522-1671
Phone (717) 733-0790

Other identifiers 1

IdentifierTypeStateIssuer
02629500OtherCAPITAL BLUE CROSS

National Provider Directory

National Provider Directory

Locations

157 N Reading Rd
Ephrata, PA 17522
Phone (717) 356-4660

159 N Reading Rd
Ephrata, PA 17522
Phone (717) 733-0790

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1073576831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 N READING RD",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221671",
            "telephone_number": "717-733-0790",
            "fax_number": "717-733-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 N READING RD",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221671",
            "telephone_number": "717-733-0790",
            "fax_number": "717-733-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACA PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "LANCELLOTTI",
        "authorized_official_first_name": "GIUSEPPE",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "717-733-0790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02629500",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.