NPIMap

Organization Active NPI

White Oak Wellness

  • Substance Use Disorder Rehabilitation Clinic/Center
  • White Oak, PA
National Provider Identifier
1124658331
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
WHITE OAK WELLNESS
Practice address
1966 Lincoln Way Ste 100
White Oak, PA 15131-2416
Phone
(412) 673-5653
Fax
(412) 673-5848
NPI assigned
Jan 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Authorized official

Name
Dr. Rocco Anton Fulciniti, MDNPI 1760422984
Title
Physician
Phone
(412) 673-5653

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1966 Lincoln Way Ste 100
White Oak, PA 15131-2416

Mailing address

1966 Lincoln Way Ste 100
White Oak, PA 15131-2416
Phone (412) 673-5653

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL fulcinitiwow@gmail.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1124658331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1966 LINCOLN WAY STE 100",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151312416",
            "telephone_number": "412-673-5653",
            "fax_number": "412-673-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1966 LINCOLN WAY STE 100",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151312416",
            "telephone_number": "412-673-5653",
            "fax_number": "412-673-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "FULCINITI",
        "authorized_official_first_name": "ROCCO",
        "authorized_official_middle_name": "ANTON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "412-673-5653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "fulcinitiwow@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Physician Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1966 Lincoln Way Ste 100",
            "city": "White Oak",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151312416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in White Oak, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.