Active NPI
John Anthony Garofalo, MD
- Hematology & Oncology Physician
- Bryn Mawr, PA
National Provider Identifier
1104850841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD036813L
- Practice address
- 847 Old Lancaster Road
Bryn Mawr, PA 19010-3203 - Phone
- (610) 527-1290
- Fax
- (610) 527-0979
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD036813L | PA | Primary |
Addresses
Primary practice location
847 Old Lancaster Road
Bryn Mawr, PA 19010-3203
Mailing address
847 Old Lancaster Road
Bryn Mawr, PA 19010-3203
Phone (610) 527-1290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0048664000 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Bryn Mawr, PA
- NPI 1396049516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285027200000",
"number": "1104850841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "847 OLD LANCASTER ROAD",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103203",
"telephone_number": "610-527-1290",
"fax_number": "610-527-0979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "847 OLD LANCASTER ROAD",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103203",
"telephone_number": "610-527-1290",
"fax_number": "610-527-0979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAROFALO",
"first_name": "JOHN",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2010-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "PA",
"license": "MD036813L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0048664000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.