NPIMap

Organization Active NPI

Keystone Oncology Associates

  • Medical Oncology Physician
  • Reading, PA
National Provider Identifier
1083714463
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
OS007188L Issued in PA
Legal business name
KEYSTONE ONCOLOGY ASSOCIATES
Practice address
2494 Bernville Rd
Suite G03
Reading, PA 19605-9469
Phone
(601) 378-2061
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Patrick Colarusso, D.O.NPI 1144238825
Title
Owner
Phone
(610) 378-2061

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
Medical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RX0202X OS007188L PA Primary

Addresses

Primary practice location

2494 Bernville Rd
Suite G03
Reading, PA 19605-9469

Mailing address

P O Box 7282
Lancaster, PA 17603
Phone (601) 378-2061

Other identifiers 1

IdentifierTypeStateIssuer
0016012930003MedicaidPA

National Provider Directory

National Provider Directory

Locations

2494 Bernville Rd
Ste 603
Reading, PA 19605

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1083714463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 7282",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17603",
            "telephone_number": "601-378-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2494 BERNVILLE RD",
            "address_2": "SUITE G03",
            "city": "READING",
            "state": "PA",
            "postal_code": "196059469",
            "telephone_number": "601-378-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE ONCOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "COLARUSSO",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-378-2061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "PA",
            "license": "OS007188L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016012930003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.