Organization Active NPI

Delligatti Shoes

  • Prosthetist
  • Uniontown, PA
National Provider Identifier
1083772644
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Legal business name
DELLIGATTI SHOES
Practice address
659 Pittsburgh Rd
Delligatti Shoes
Uniontown, PA 15401-2215
Phone
(724) 438-5401
Fax
(724) 438-5402
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Mr. Richard A Maruniak, OST
Title
Owner
Phone
(724) 438-5401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthetistGroup: 193400000X SINGLE SPECIALTY GROUP 224P00000X Primary

Addresses

Primary practice location

659 Pittsburgh Rd
Delligatti Shoes
Uniontown, PA 15401-2215

Mailing address

659 Pittsburgh Rd
Delligatti Shoes
Uniontown, PA 15401
Phone (724) 438-5401

Other identifiers 3

IdentifierTypeStateIssuer
0090506OtherPAUMWA
64433MedicaidPA
1507749OtherPAGATEWAY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1083772644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 PITTSBURGH RD",
            "address_2": "DELLIGATTI SHOES",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "15401",
            "telephone_number": "724-438-5401",
            "fax_number": "724-438-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 PITTSBURGH RD",
            "address_2": "DELLIGATTI SHOES",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154012215",
            "telephone_number": "724-438-5401",
            "fax_number": "724-438-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELLIGATTI SHOES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "MARUNIAK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-438-5401",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OST"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "0090506",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64433",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1507749",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.