Individual provider Active NPI

Joan J Forgetta, MD

  • Diagnostic Radiology Physician
  • Wilkes Barre, PA
National Provider Identifier
1346207578
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD049598L Issued in PA
Practice address
575 N River St
Wilkes Barre, PA 18764-0999
Phone
(570) 696-3283
Fax
(570) 696-3268
NPI assigned
May 1, 2006
Last updated
Aug 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X MD049598L PA
Diagnostic Radiology Physician 2085R0202X MD049598L PA Primary

Addresses

Primary practice location

575 N River St
Wilkes Barre, PA 18764-0999

Mailing address

PO Box 197
State College, PA 16804-0197
Phone (814) 235-1526

Other identifiers 1

IdentifierTypeStateIssuer
001410587MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040601000926 PA Practitioner - Nuclear Medicine 9032191424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as apm
Quality
78.34
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD039498LPAMDPsychosomatic Medicine Physician
MD049598LPAMDNuclear Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Wyoming Valley, Inc Nuclear Radiology CurrentSince Apr 30, 2003 Accepting new patients
Ekg Associates of Wyoming Valley LLP PastSince Aug 1, 2012 Accepting new patients

Locations

239 S Mountain Blvd
Mountain Top, PA 18707
Phone (570) 715-7900

4 E Main St
Nanticoke, PA 18634
Phone (570) 258-3939

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

575 N River St
Wilkes Barre Township, PA 18702
Phone (570) 283-3222

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.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1346207578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 197",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168040197",
            "telephone_number": "814-235-1526",
            "fax_number": "814-235-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 N RIVER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187640999",
            "telephone_number": "570-696-3283",
            "fax_number": "570-696-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORGETTA",
        "first_name": "JOAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "PA",
            "license": "MD049598L",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD049598L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001410587",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.