Organization Active NPI

Heritage Medical Group, LLP

Doing business as Heritage Pediatrics

  • Pediatrics Physician
  • Camp Hill, PA
National Provider Identifier
1285888412
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
HERITAGE MEDICAL GROUP, LLP
Doing business as
Heritage Pediatrics
Practice address
3720 Market St
Camp Hill, PA 17011-4325
Phone
(717) 909-4670
Fax
(717) 909-4675
NPI assigned
Nov 14, 2008
Last updated
May 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2009

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

Authorized official

Name
Dr. Joseph A. Cincotta, MD
Title
Medical Director
Phone
(717) 761-0208

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

3720 Market St
Camp Hill, PA 17011-4325

Mailing address

3 Walnut St
Suite 206
Lemoyne, PA 17043-1168
Phone (717) 761-0208

Other names 1

  • Heritage Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
David a Froehlich MD5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3 Walnut St
Ste 206
Lemoyne, PA 17043
Phone (717) 761-0208

NPI Registry JSON

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1285888412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WALNUT ST",
            "address_2": "SUITE 206",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431168",
            "telephone_number": "717-761-0208",
            "fax_number": "717-761-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 MARKET ST",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114325",
            "telephone_number": "717-909-4670",
            "fax_number": "717-909-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE MEDICAL GROUP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "CINCOTTA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "717-761-0208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.