New Wilmington Family Medicine Associates P C
Organization Active NPI Family Medicine Physician · New Wilmington, PA
NPI 1205940764 · NPPES record last updated Jan 15, 2013
Key facts
- NPI
- 1205940764
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- NEW WILMINGTON FAMILY MEDICINE ASSOCIATES P C
- Practice address
- 3438 State Route 208
New Wilmington, PA 16142-1012 - Phone
- (724) 946-8979
- Fax
- (724) 946-2938
- NPI assigned
- Aug 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Anthony Frederick Uberti, M.D.
- Title
- President
- Phone
- (724) 946-8979
Practitioners 4
-
Anthony Frederick Uberti, M.D.
-
Erica Lee Cress, PA-C
-
Angela D Nicastro, PAC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040323000106 | PA | Part B Supplier - Clinic/Group Practice | 7113818881 |
Receives reassigned benefits from 4 practitioners Practice locations: New Wilmington, PA |
National Provider Directory
Locations
3438 State Route 208
New Wilmngtn, PA 16142
Phone (724) 946-8378
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
3438 State Route 208
New Wilmington, PA 16142-1012
Mailing address
3438 State Route 208
New Wilmington, PA 16142-1012
Phone (724) 946-8979
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018021010003 | Medicaid | PA | |
| 057756 | Other | PA | BLUE SHIELD PROVIDER NO. |
Other providers in New Wilmington, PA
- Elizabeth Mattocks
- Maybrook-C Overlook Opco, LLC
- Linda Grace McCracken
- Laurie Anne McElrath
- Misty Lynn Motter
- New Wilmington Psychotherapy & Counseling
- New Wilmington Rehabilitation & Nursing LLC
- New Wilmington Volunteer Firemens Association
- Angela D Nicastro
- Michael Samuel O'Donovan
All providers in New Wilmington, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.