Active NPI
Heritage Medical Group LLP
- Family Medicine Physician
- Lemoyne, PA
National Provider Identifier
1104935121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HERITAGE MEDICAL GROUP LLP
- Practice address
- 3 Walnut Street
Suite 206
Lemoyne, PA 17043-1169 - Phone
- (717) 761-0208
- Fax
- (717) 761-2023
- NPI assigned
- Aug 30, 2006
- Organization subpart
- Yes
- Parent organization
- HERITAGE MEDICAL GROUP LLP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph A Cincotta, MD
- Title
- Medical Director
- Phone
- (717) 761-0208
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Interventional Cardiology Physician | 207RI0011X | |||
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | |||
| Pediatrics Physician | 208000000X | |||
| Body Imaging Physician | 2085B0100X | |||
| Diagnostic Radiology Physician | 2085R0202X | |||
| Diagnostic Ultrasound Physician | 2085U0001X | |||
| Surgery Physician | 208600000X | |||
| Hospitalist Physician | 208M00000X | |||
| Clinical Medical Laboratory | 291U00000X |
Addresses
Primary practice location
3 Walnut Street
Suite 206
Lemoyne, PA 17043-1169
Mailing address
3 Walnut Street
Suite 206
Lemoyne, PA 17043-1169
Phone (717) 761-0208
Other names 1
- Heritage Hospitalist Group
National Provider Directory
National Provider Directory- Part of
- Conner Rich Associates
Locations
532 N Front St
Wormleysburg, PA 17043
Phone (717) 761-4141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220400000000",
"number": "1104935121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 WALNUT STREET",
"address_2": "SUITE 206",
"city": "LEMOYNE",
"state": "PA",
"postal_code": "170431169",
"telephone_number": "717-761-0208",
"fax_number": "717-761-2023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 WALNUT STREET",
"address_2": "SUITE 206",
"city": "LEMOYNE",
"state": "PA",
"postal_code": "170431169",
"telephone_number": "717-761-0208",
"fax_number": "717-761-2023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERITAGE MEDICAL GROUP LLP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HERITAGE MEDICAL GROUP LLP",
"enumeration_date": "2006-08-30",
"last_updated": "2008-09-03",
"status": "A",
"authorized_official_last_name": "CINCOTTA",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "717-761-0208",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085B0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Body Imaging",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Heritage Hospitalist Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lemoyne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.