Active NPI
Nita Rastogi Family Internal Medicine
- Internal Medicine Physician
- Harrisburg, PA
National Provider Identifier
1346220613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NITA RASTOGI FAMILY INTERNAL MEDICINE
- Practice address
- 4701 Devonshire Rd
Ste 102
Harrisburg, PA 17109 - Phone
- (717) 540-1920
- Fax
- (717) 540-1927
- NPI assigned
- Jan 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nita Rostogi, MD
- Title
- Owner
- Phone
- (717) 540-1920
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | PA | Primary |
Addresses
Primary practice location
4701 Devonshire Rd
Ste 102
Harrisburg, PA 17109
Mailing address
PO Box 175
Northumberland, PA 17857
Phone (570) 988-0925
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001845670002 | Medicaid | PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0993193 | Family Internal Medicine | Certificate of waiver | Nov 5, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Mechanicsburg, PA
- NPI 1972734986
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199664000000",
"number": "1346220613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 175",
"city": "NORTHUMBERLAND",
"state": "PA",
"postal_code": "17857",
"telephone_number": "570-988-0925",
"fax_number": "570-988-0919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 DEVONSHIRE RD",
"address_2": "STE 102",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "17109",
"telephone_number": "717-540-1920",
"fax_number": "717-540-1927"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NITA RASTOGI FAMILY INTERNAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-20",
"last_updated": "2008-01-07",
"status": "A",
"authorized_official_last_name": "ROSTOGI",
"authorized_official_first_name": "NITA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "717-540-1920",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001845670002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.