Organization Active NPI

Vincent G. Sacco D.O. P.C.

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1194738682
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS007248L Issued in PA
Legal business name
VINCENT G. SACCO D.O. P.C.
Practice address
2701 Holme Ave
Suite 202
Philadelphia, PA 19152-2029
Phone
(215) 333-9901
Fax
(215) 333-9828
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Authorized official

Name
Barbara A Smith
Title
Office Manager
Phone
(215) 704-7338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS007248L PA Primary

Addresses

Primary practice location

2701 Holme Ave
Suite 202
Philadelphia, PA 19152-2029

Mailing address

2701 Holme Ave
Suite 202
Philadelphia, PA 19152-2029
Phone (215) 333-9901

National Provider Directory

National Provider Directory

Locations

2701 Holme Ave
Ste 202
Philadelphia, PA 19152
Phone (215) 333-9901

Practitioners & affiliated clinicians

Practitioners 1

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": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1194738682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 HOLME AVE",
            "address_2": "SUITE 202",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522029",
            "telephone_number": "215-333-9901",
            "fax_number": "215-333-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 HOLME AVE",
            "address_2": "SUITE 202",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522029",
            "telephone_number": "215-333-9901",
            "fax_number": "215-333-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT G. SACCO D.O. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-704-7338"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS007248L",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 24, 2014; 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.