NPIMap

Individual provider Active NPI

Charles David Aronica, D.O.

  • Internal Medicine Physician
  • Tafton, PA
National Provider Identifier
1316989346
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS-008077L Issued in PA
Practice address
132 Manly Rd
Tafton, PA 18464-7829
Phone
(570) 226-2151
Fax
(570) 226-1861
NPI assigned
Jun 12, 2006
Last updated
May 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS-008077L PA Primary

Addresses

Primary practice location

132 Manly Rd
Tafton, PA 18464-7829

Mailing address

601 Park St
Honesdale, PA 18431-1445
Phone (570) 226-2151

Other identifiers 5

IdentifierTypeStateIssuer
0014879300001MedicaidPA
003001OtherPAFIRST PRIORITY HEALTH
02010864OtherNYNY MEDICAL ASSISTANCE
AR547025OtherPAHIGHMARK BLUE SHIELD
16950OtherPAGEISINGER HEALTH PLAN

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
I20050715000575 PA Practitioner - Internal Medicine 3577599034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

412 Como Rd
Lake Como, PA 18437-1020
Phone (570) 798-2828

543 Easton Tpke
Lake Ariel, PA 18436-4718
Phone (570) 689-9965

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS-008077LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Memorial Community Health Centers CurrentSince Dec 28, 2015 Accepting new patients
Wayne Memorial Community Health Centers Internal Medicine CurrentSince Dec 28, 2015 Accepting new patients
Wayne Memorial Community Health Centers Internal Medicine Past Accepting new patients

Locations

1839 Fair Ave
Honesdale, PA 18431
Phone (570) 251-6500

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

543 Easton Tpke
Ste 105
Lake Ariel, PA 18436
Phone (570) 689-4670

412 Como Rd
Lake Como, PA 18437
Phone (570) 775-7100

132 Manly Rd
Tafton, PA 18464
Phone (570) 226-2151

Interoperability endpoints

  • Direct secure messaging: charles.aronica@direct.wmchc.hie.keyhie.org

Organizations & group practices 3

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 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1316989346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PARK ST",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311445",
            "telephone_number": "570-226-2151",
            "fax_number": "570-226-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 MANLY RD",
            "city": "TAFTON",
            "state": "PA",
            "postal_code": "184647829",
            "telephone_number": "570-226-2151",
            "fax_number": "570-226-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARONICA",
        "first_name": "CHARLES",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS-008077L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014879300001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "003001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY MEDICAL ASSISTANCE",
            "identifier": "02010864",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "AR547025",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "16950",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tafton, PA

Sources for this page

Verify at the official NPI Registry.