NPIMap

Individual provider Active NPI

John L. Lignelli II, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Pottstown, PA
National Provider Identifier
1316163397
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS035799 Issued in PA
Practice address
1630 E High St
BLD #4
Pottstown, PA 19464-3244
Phone
(610) 326-1972
Fax
(610) 326-5491
NPI assigned
Apr 18, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS035799 PA Primary

Addresses

Primary practice location

1630 E High St
BLD #4
Pottstown, PA 19464-3244

Mailing address

235 Clubhouse Cir
Gilbertsville, PA 19525-8808
Phone (610) 326-7880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070817000243 PA Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 6002908217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
Temple University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pottstown Oral and Maxillofacial Surgery Assoc. IncGroup PAC ID 2668442492, 5 clinicians

Practice addresses (Care Compare)

500 Heritage Dr
Pottstown, PA 19464-3233
Phone (610) 326-7880

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Pottstown Oral & Maxillofacial Surgery Assoc. Inc Oral and Maxillofacial Surgery CurrentSince Jul 1, 2007 Accepting new patients
Pottstown Hospital, LLC PastSince Jan 1, 2023 Accepting new patients

Locations

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

1630 E High St
Bldg 4
Pottstown, PA 19464
Phone (610) 326-7880

500 Heritage Dr
Pottstown, PA 19464
Phone (610) 326-7880

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pottstown HospitalPottstown, PA, CCN 390123 Hospital Other Jun 1, 2023
Pottstown HospitalPottstown, PA, CCN 39S123 Hospital Other Jan 1, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316163397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 CLUBHOUSE CIR",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "195258808",
            "telephone_number": "610-326-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 E HIGH ST",
            "address_2": "BLD #4",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643244",
            "telephone_number": "610-326-1972",
            "fax_number": "610-326-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGNELLI",
        "first_name": "JOHN",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS035799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.