Active NPI
Vincent S Ladelia, MD
- Cardiovascular Disease Physician
- Pine City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 157419-1
- Practice address
- 1243 Pennsylvania Ave
Pine City, NY 14871-9230 - Phone
- (570) 734-6281
- NPI assigned
- Sep 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 157419-1 | NY | Primary |
Addresses
Primary practice location
1243 Pennsylvania Ave
Pine City, NY 14871-9230
Mailing address
1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01027590 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080325000162 | NY | Practitioner - Cardiovascular Disease (Cardiology) | 5395734206 | Reassigns benefits to 1 organization |
| I20130528000441 | PA | Practitioner - Cardiovascular Disease (Cardiology) | 5395734206 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- New York Medical College, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Guthrie Medical Group PC
Practice addresses (Care Compare)
1 Guthrie Dr
Corning, NY 14830-3696
Phone (607) 973-7200
1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858
130 Ctr Way
Corning, NY 14830-2255
Phone (607) 936-9971
1336 Cedar St
Elmira, NY 14904-2951
Phone (607) 734-3929
134 Homer Ave
Cortland, NY 13045-1206
Phone (607) 756-3500
3 Guthrie Dr
Corning, NY 14830-3696
Phone (607) 973-8000
31 Arnot Rd
A
Horseheads, NY 14845-8533
Phone (607) 795-5100
3344 Chambers Rd
Horseheads, NY 14845-1403
Phone (607) 795-5100
9768 Liberty Dr
Painted Post, NY 14870-9094
Phone (607) 937-4900
One Guthrie SQ
Sayre, PA 18840-1625
One Guthrie Square
Sayre, PA 18840-1625
Hospital & facility affiliations
- Corning Hospital
- Robert Packer Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 157419-1 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Cardiovascular Disease | Current | Accepting new patients |
| Guthrie Medical Group, P.C. | Cardiovascular Disease | Current | Accepting new patients |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Fort Edward Rescue Squad Inc | Past | Accepting new patients | |
| Guthrie Medical Group PC | Past | Accepting new patients |
Locations
130 Center Way
Corning, NY 14830
Phone (607) 936-9971
600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
Interoperability endpoints
- vladelia45669@direct-guthrie.org
Organizations & group practices 7
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.
-
- General Practice Physician
- Sayre, PA
- NPI 1245246644
Cardiovascular Disease
-
- Clinical Medical Laboratory
- Sayre, PA
- NPI 1649225855
-
- Durable Medical Equipment & Medical Supplies
- Waverly, NY
- NPI 1578755682
-
- Cardiovascular Disease Physician
- Sayre, PA
- NPI 1316998487
Cardiovascular Disease
-
- Ambulance
- Fort Edward, NY
- NPI 1427031319
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371168000000",
"number": "1205938263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUTHRIE SQ",
"city": "SAYRE",
"state": "PA",
"postal_code": "188401625",
"telephone_number": "570-888-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1243 PENNSYLVANIA AVE",
"city": "PINE CITY",
"state": "NY",
"postal_code": "148719230",
"telephone_number": "570-734-6281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADELIA",
"first_name": "VINCENT",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2013-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "157419-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01027590",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pine City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.