Ryan Cristelli, DO

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

OS021302 Issued in PA

Practice address

781 Keystone Industrial Park
Dunmore, PA 18512-1530

Phone

(570) 558-4560

Fax

(570) 558-4564

NPI assigned

Nov 27, 2018

Last updated

Jun 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

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 2

Specialty

Pathology

Education

Rowan University School of Osteopathic Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Gastroenterology Center, Inc.Group PAC ID 2264410224, 7 clinicians

Greater Hazleton Gastroenterology PCGroup PAC ID 4082038625, 4 clinicians

Northeastern Gastroenterology Associates, PCGroup PAC ID 7113990912, 8 clinicians

Dimarino Kroop Prieto Gastrointestinal Associates PAGroup PAC ID 8325933906, 21 clinicians

Pathology Associates of NE PA LTDGroup PAC ID 3274516208, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Endless Mountains Health Systems Hospital, Montrose, PA, CCN 391306
• Barnes-Kasson County Hospital Hospital, Susquehanna, PA, CCN 391309

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drcristelli@gastrohonesdale.medentdirect.com
• FHIR API: https://app.meldrx.com/api/fhir/uc33702_centerforadvancedurologysalem

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.

• Greater Hazleton Gastroenterology, P.C.

  • Gastroenterology Physician
  • Hazle Township, PA
  • NPI 1427683580
  Medicare reassignment Care Compare group NPD
• Northeast Gastroenterology Center, Inc.

  • Gastroenterology Physician
  • Hazle Township, PA
  • NPI 1164509287
  Medicare reassignment Care Compare group NPD
• Northeastern Gastroenterology Associates, PC

  • Gastroenterology Physician
  • Honesdale, PA
  • NPI 1942211248
  Medicare reassignment Care Compare group NPD
• Pathology Associates of NE PA LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Dunmore, PA
  • NPI 1528022142
  Medicare reassignment Care Compare group NPD
• Dimarino-Kroop-Prieto Gastro-Intestinal Associates,PA

  • Specialist
  • Woodbury, NJ
  • NPI 1962422295
  Medicare reassignment Care Compare group NPD
• Wayne Memorial Hospital

  • General Acute Care Hospital
  • Honesdale, PA
  • NPI 1124026182
  Medicare reassignment NPD
• Center for Advanced Urology

  • Urology Physician
  • Salem, NJ
  • NPI 1598720443
  Medicare reassignment NPD
• Sovereign Medical Group LLC

  • Urology Physician
  • Oradell, NJ
  • NPI 1710282082
  Medicare reassignment NPD
• Keystone Medical Laboratories, L.P.

  • Clinical Medical Laboratory
  • Dunmore, PA
  • NPI 1619128592
  NPD
• Northeast Gastroenterology Center, Inc.

  • Certified Registered Nurse Anesthetist
  • Hazle Township, PA
  • NPI 1972854446
  NPD
• Wayne Memorial Hospital

  • General Acute Care Hospital
  • Honesdale, PA
  • NPI 1649573023
  NPD
• Dimarino-Kroop-Prieto Gastro Intestinal Associates PA

  dba Woodbury Anesthesia

  • Specialist
  • Woodbury, NJ
  • NPI 1104888080
  NPD

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

• Barnes-Kasson County Hospital

  • Critical Access Hospital
  • Susquehanna, PA
  • NPI 1932138161
  Care Compare affiliation
• Endless Mountains Health Systems, Inc.

  • Critical Access Hospital
  • Montrose, PA
  • NPI 1215918560
  Care Compare affiliation

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1356811939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1898",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040898",
            "telephone_number": "570-288-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 KEYSTONE INDUSTRIAL PARK",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185121530",
            "telephone_number": "570-558-4560",
            "fax_number": "570-558-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISTELLI",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-27",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MB10821900",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "OS021302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allie Cordaro, PT, DPT
• Angelo Corradino, RPH
• Counlseing Larissa Schwass
• Dane Robert Craig
• Creatingyou Counseling LLC
• Lisa Croker, PHARMD
• Mary P Cunningham, MA
• Curalta Foot and Ankle Penn PC
• Glenn Czulada, D.C.
• Theresa Elizabeth Dakay, M.S., NCC

• Anatomic Pathology & Clinical Pathology Physician in Dunmore, PA
• Providers in Dunmore, PA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.