Active NPI
Lawrence Gaetano, M.D.
- Internal Medicine Physician
- York, PA
National Provider Identifier
1144369919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD061027L
- Practice address
- 1001 S George St
3Rd Floor
York, PA 17403-3676 - Phone
- (717) 851-4005
- Fax
- (717) 812-2495
- NPI assigned
- Feb 6, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA03927400 | NJ | |
| Internal Medicine Physician | 207R00000X | MD061027L | PA | Primary |
| Hospitalist Physician | 208M00000X | MD061027L | PA |
Addresses
Primary practice location
1001 S George St
3Rd Floor
York, PA 17403-3676
Mailing address
1803 Mt. Rose Avenue
Suite B3
York, PA 17403-3051
Phone (717) 851-1405
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110213996 | Other | RAILROAD MEDICARE | |
| 102219829 | Medicaid | PA | |
| 165975 | Other | PA | HIGHMARK BLUE SHIELD |
| 225710 | Other | PA | JOHNS HOPKINS |
| 5542322 | Other | PA | AETNA |
| 256002 | Other | PA | UNISON-WMG |
| 945950 | Other | MD | CAREFIRST MD BCBS |
| 20090431 | Other | PA | AMERIHEALTH MERCY-WMG |
| 50086656 | Other | PA | CAPITAL BLUE CROSS |
| 039157300 | Medicaid | MD | |
| 118218 | Other | PA | GEISINGER HEALTH PLAN |
| 1577542 | Other | PA | GATEWAY |
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 |
|---|---|---|---|
| 25MA03927400 | NJ | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467244800000",
"number": "1144369919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1803 MT. ROSE AVENUE",
"address_2": "SUITE B3",
"city": "YORK",
"state": "PA",
"postal_code": "174033051",
"telephone_number": "717-851-1405",
"fax_number": "717-812-2495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S GEORGE ST",
"address_2": "3RD FLOOR",
"city": "YORK",
"state": "PA",
"postal_code": "174033676",
"telephone_number": "717-851-4005",
"fax_number": "717-812-2495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAETANO",
"first_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2016-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA03927400",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD061027L",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD061027L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110213996",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102219829",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "165975",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS",
"identifier": "225710",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5542322",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON-WMG",
"identifier": "256002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD BCBS",
"identifier": "945950",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY-WMG",
"identifier": "20090431",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50086656",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "039157300",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "118218",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1577542",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.