Active NPI
Delligatti Shoes
- Prosthetist
- Uniontown, PA
National Provider Identifier
1083772644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0090506 | Other | PA | UMWA |
| 64433 | Medicaid | PA | |
| 1507749 | Other | PA | GATEWAY |
National Provider Directory
National Provider DirectoryNPI 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.