Active NPI
Oscar Y Piczon, MD
- Internal Medicine Physician
- Scranton, PA
National Provider Identifier
1164401006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD018922E
- Practice address
- 239 Pennavenue Forum Plaza
Scranton, PA 18503 - Phone
- (570) 346-6170
- Fax
- (570) 346-2575
- NPI assigned
- Jan 10, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD018922E | PA | Primary |
| Nephrology Physician | 207RN0300X | MD018922E | PA |
Addresses
Primary practice location
239 Pennavenue Forum Plaza
Scranton, PA 18503
Mailing address
239 Pennavenue Forum Plaza
Scranton, PA 18503
Phone (570) 346-6170
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0669043 | Medicaid | PA | |
| 0669043 | Other | PA | MEDICAL ASSISTANCE |
| 505690 | Other | AETNA | |
| 440398 | Other | PA | FIRST PRIORITY |
| 19816 | Other | PA | GEISINGER HEALTH PLAN |
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 |
|---|---|---|---|
| MD018922E | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oscar Y Piczon & Ferdinand J Mahahan | Internal Medicine | Current | Accepting new patients |
| Ferdinand J Manahan MD LLC | Internal Medicine | Past | Accepting new patients |
Locations
239 Penn Ave
Scranton, PA 18503
Phone (570) 346-6170
Organizations & group practices 2
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.
-
- Nephrology Physician
- Scranton, PA
- NPI 1174502199
Internal Medicine
-
- Internal Medicine Physician
- Scranton, PA
- NPI 1275855264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1164401006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 PENNAVENUE FORUM PLAZA",
"city": "SCRANTON",
"state": "PA",
"postal_code": "18503",
"telephone_number": "570-346-6170",
"fax_number": "570-346-2575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 PENNAVENUE FORUM PLAZA",
"city": "SCRANTON",
"state": "PA",
"postal_code": "18503",
"telephone_number": "570-346-6170",
"fax_number": "570-346-2575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICZON",
"first_name": "OSCAR",
"middle_name": "Y",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD018922E",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PA",
"license": "MD018922E",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0669043",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL ASSISTANCE",
"identifier": "0669043",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "505690",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY",
"identifier": "440398",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "19816",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.