Active NPI
I E Schifalacqua, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Wyomissing, PA
National Provider Identifier
1184613093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- SC002496L
- Practice address
- 50 Berkshire CT
Wyomissing, PA 19610-1219 - Phone
- (610) 373-4154
- Fax
- (610) 373-8651
- NPI assigned
- Oct 14, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC002496L | PA | Primary |
Addresses
Primary practice location
50 Berkshire CT
Wyomissing, PA 19610-1219
Mailing address
50 Berkshire CT
Wyomissing, PA 19610-1219
Phone (610) 373-4154
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010033750001 | Medicaid | PA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC002496L | PA | MD | Foot & Ankle Surgery Podiatrist |
Interoperability endpoints
- schifalacquaie@bpcl-pa.direct.office.nextgen.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207526400000",
"number": "1184613093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 BERKSHIRE CT",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196101219",
"telephone_number": "610-373-4154",
"fax_number": "610-373-8651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 BERKSHIRE CT",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196101219",
"telephone_number": "610-373-4154",
"fax_number": "610-373-8651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIFALACQUA",
"first_name": "I",
"middle_name": "E",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-14",
"last_updated": "2008-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC002496L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010033750001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.