Individual provider Active NPI

Benjamin J Magliocca

  • Counselor
  • Canonsburg, PA
National Provider Identifier
1235954553
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC017869 Issued in PA
Practice address
125 Technology Dr Ste 104
Canonsburg, PA 15317-9557
Phone
(412) 294-8544
NPI assigned
Nov 21, 2024
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PC017869 PA Primary

Addresses

Primary practice location

125 Technology Dr Ste 104
Canonsburg, PA 15317-9557

Mailing address

125 Technology Dr Ste 104
Canonsburg, PA 15317-9557
Phone (412) 294-8544

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC017869PAMDCounselor

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1235954553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 TECHNOLOGY DR STE 104",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179557",
            "telephone_number": "412-294-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 TECHNOLOGY DR STE 104",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179557",
            "telephone_number": "412-294-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGLIOCCA",
        "first_name": "BENJAMIN",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC017869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.