Anthony Di Natale, MD

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

License

LT000875 Issued in PA

Practice address

3401 Civic Center Blvd
Division of Pediatric Surgery
Philadelphia, PA 19104-3820

Phone

(215) 590-5294

NPI assigned

Sep 15, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1366112005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 CIVIC CENTER BLVD",
            "address_2": "DIVISION OF PEDIATRIC SURGERY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 CIVIC CENTER BLVD",
            "address_2": "DIVISION OF PEDIATRIC SURGERY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043820",
            "telephone_number": "215-590-5294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI NATALE",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "PA",
            "license": "LT000875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Gerard Di Bruno, RN
• Antonio Di Carlo, MD
• Marissa Pia Di Giovine, M.D.
• Gloria Angela Di Lullo, CRNP
• Jacqueline Nicole Nicole Di Nardi, RDH
• Alyssa Di Rico, DO
• Dieynaba Dia
• Diabetic Care Solutions, Inc.
• Jennifer Dana Diabo, MD
• Nina Alexis Diaconescu

• Pediatric Surgery Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pediatric Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.