Individual provider Active NPI

Robert Peter Oristaglio, DO

  • Cardiovascular Disease Physician
  • Allentown, PA
National Provider Identifier
1295838290
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0S003788L Issued in PA
Practice address
401 North 17TH Street
Suite 212
Allentown, PA 18104
Phone
(610) 432-8488
Fax
(610) 258-2140
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0S003788L PA Primary

Addresses

Primary practice location

401 North 17TH Street
Suite 212
Allentown, PA 18104

Mailing address

50 South 18TH Street
Easton, PA 18042
Phone (610) 258-3608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120717000570 GA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 5597860163 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
13473CAMDChiropractor
0S003788LPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Physician Group, Inc CurrentSince Jun 1, 2012 Accepting new patients
MDS Digital X-Ray LLC CurrentSince Jan 20, 2020 Accepting new patients
Phoebe Infectious Disease CurrentSince Jun 1, 2012 Accepting new patients
James a. Sexson, M.D. LLC Past Accepting new patients
Ravens Nest Foundation Inc PastSince Mar 29, 2020 Accepting new patients

Locations

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

3330 Cumberland Blvd SE
Ste 500
Atlanta, GA 30339
Phone (404) 726-0283

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295838290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SOUTH 18TH STREET",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "18042",
            "telephone_number": "610-258-3608",
            "fax_number": "610-258-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NORTH 17TH STREET",
            "address_2": "SUITE 212",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18104",
            "telephone_number": "610-432-8488",
            "fax_number": "610-258-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORISTAGLIO",
        "first_name": "ROBERT",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "0S003788L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.