Active NPI
Anthony Joseph Prestipino, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Philadelphia, PA
National Provider Identifier
1124032602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD032946E
- Practice address
- 132 S 10TH St
285K
Philadelphia, PA 19107-5244 - Phone
- (215) 503-5642
- Fax
- (215) 503-4817
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | MA72994 | NJ | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD032946E | PA | Primary |
Addresses
Primary practice location
132 S 10TH St
285K
Philadelphia, PA 19107-5244
Mailing address
132 S 10TH St
285K
Philadelphia, PA 19107-5244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8650608 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD032946E | PA | MD | Anatomic Pathology & Clinical Pathology Physician |
| MA72994 | NJ | MD | Clinical Pathology/Laboratory Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rancocas Zurbrugg Pathology Assoc Inc | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
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.
-
- Clinical Pathology/Laboratory Medicine Physician
- Willingboro, NJ
- NPI 1093744633
Anatomic Pathology & Clinical Pathology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427932800000",
"number": "1124032602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 S 10TH ST",
"address_2": "285K",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 S 10TH ST",
"address_2": "285K",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075244",
"telephone_number": "215-503-5642",
"fax_number": "215-503-4817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTIPINO",
"first_name": "ANTHONY",
"middle_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2015-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "NJ",
"license": "MA72994",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "PA",
"license": "MD032946E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8650608",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.