Vincent Luciano Ross, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD009571E Issued in PA

Practice address

442 N Main Ave
Scranton, PA 18504

Phone

(570) 347-5605

Fax

(570) 347-5606

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• NE Pediatrics, Inc

  • Pediatrics Physician
  • Scranton, PA
  • NPI 1316124902
  NPD (past) Authorized official

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104935808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 N MAIN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18504",
            "telephone_number": "570-347-5605",
            "fax_number": "570-347-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 N MAIN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18504",
            "telephone_number": "570-347-5605",
            "fax_number": "570-347-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "VINCENT",
        "middle_name": "LUCIANO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD009571E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ESPN",
            "identifier": "35025",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1400787",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ross Audiology Services
• Ross M. Wezmar, DDS, PC
• Amanda Ross
• Mary Patricia N Ross, CRNA
• Serena Marie Ross, AUD
• Eric Charles Rottenberg, M.D.
• David Rowlands, PHARM.D.
• Uzzal Roy, M.D., PH.D
• Kelly Elizabeth Royer
• Ashley Ruane, CRNP

• Pediatrics Physician in Scranton, PA
• Providers in Scranton, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.