Raymond B Attolino, DO
Individual provider Active NPI Hospitalist Physician · Bryn Mawr, PA
NPI 1336128917 · NPPES record last updated Nov 9, 2017
Key facts
- NPI
- 1336128917
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- OS-004638-L (PA)
- Practice address
- 130 S Bryn Mawr Ave
Suite H321
Bryn Mawr, PA 19010-3121 - Phone
- (484) 337-4097
- Fax
- (484) 337-4082
- NPI assigned
- Jan 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in PA, NJ, MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101129000800 | PA | Practitioner - Hospitalist |
9638129653 | Reassigns benefits to 1 organization |
| I20101209000613 | NJ | Practitioner - Emergency Medicine |
9638129653 | Reassigns benefits to 1 organization |
| I20210713003242 | MD | Practitioner - Emergency Medicine |
9638129653 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS-004638-L | PA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Maryland-Laurel PC | Internal Medicine | Current |
Accepting new patients |
| Main Line Healthcare | Internal Medicine | Current |
Accepting new patients |
| Union Hospital of Cecil County | Internal Medicine | Current |
Accepting new patients |
| South Jersey Health System Emergency Physician Services P a | Current |
Accepting new patients | |
| Union Hospital of Cecil County, Inc | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
106 Bow St
Elkton, MD 21921
Phone (410) 298-2000
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600
130 S Bryn Mawr Ave
Ste H321
Bryn Mawr, PA 19010
Phone (484) 337-4097
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS-004638-L | PA | |
| Hospitalist Physician | 208M00000X | OS-004638-L | PA | Yes |
Addresses
Primary practice location
130 S Bryn Mawr Ave
Suite H321
Bryn Mawr, PA 19010-3121
Mailing address
130 S Bryn Mawr Ave
Suite H321
Bryn Mawr, PA 19010-3121
Phone (484) 337-4097
Other providers in Bryn Mawr, PA
- Bonnie Lee Ashby
- Sarah Ashby
- Erik D Assarsson
- Seth Jefferson Astorino
- Robert R Atkins
- Abbe Bernstein Avart
- Maura Kristen Ayers
- Anastasia Babouchkina
- Jane Back
- Peter C Badgio
All providers in Bryn Mawr, PA · Hospitalist Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.