Joan Marie Formiglia, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA001228L Issued in PA

Practice address

1 E Beacon Light LN
Chester, PA 19013-4433

Phone

(610) 490-3900

Fax

(610) 490-3904

NPI assigned

Apr 2, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Physical Therapy Physicians PC

  • Physical Medicine & Rehabilitation Physician
  • Chester, PA
  • NPI 1619142353
  NPD (past)

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1295907988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E BEACON LIGHT LN",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190134433",
            "telephone_number": "610-490-3910",
            "fax_number": "610-490-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E BEACON LIGHT LN",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190134433",
            "telephone_number": "610-490-3900",
            "fax_number": "610-490-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORMIGLIA",
        "first_name": "JOAN",
        "middle_name": "MARIE",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA001228L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie V Flynn, BA
• Sophie Fonner
• Denise Fonseca, BA, MBA
• Cynthia Foore, CRNA
• Evelyn E Foreman
• Andrew Emanuel Fortney, CRNP
• Renee Fortune
• Marisha Foster
• Connie M Fox, BA
• Emery Fox

• All providers in Chester, PA
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.