Individual provider Active NPI

Andrew A. Garbarino, MD

  • Pediatrics Physician
  • Johnstown, PA
National Provider Identifier
1366503013
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD039547L Issued in PA
Practice address
1322 Eisenhower Blvd
Johnstown, PA 15904-3307
Phone
(814) 536-8969
Fax
(814) 536-7180
NPI assigned
Dec 13, 2006
Last updated
Aug 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD039547L PA Primary

Addresses

Primary practice location

1322 Eisenhower Blvd
Johnstown, PA 15904-3307

Mailing address

1322 Eisenhower Blvd
Johnstown, PA 15904-3307
Phone (814) 536-8969

Other identifiers 2

IdentifierTypeStateIssuer
0010115820001MedicaidPA
1007708200001MedicaidPA

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
I20210719001115 PA Practitioner - Pediatric Medicine 4587838669 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD039547LPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Care Specialists Current Accepting new patients
Pediatric Care Specialists CurrentSince Jul 1, 2021 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Childrens Community Pediatrics Pediatrics Past Accepting new patients

Locations

121 Rolling Acres Dr
Alum Bank, PA 15521
Phone (814) 266-8840

131 Casale Ct
Ebensburg, PA 15931
Phone (814) 266-8840

110 Main St
Johnstown, PA 15901
Phone 8142668840 ext. 300

1322 Eisenhower Blvd
Johnstown, PA 15904
Phone (814) 266-8840

507 Georgian Pl
Somerset, PA 15501
Phone 8142668840 ext. 300

Organizations & group practices 4

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1366503013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 EISENHOWER BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043307",
            "telephone_number": "814-536-8969",
            "fax_number": "814-536-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 EISENHOWER BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043307",
            "telephone_number": "814-536-8969",
            "fax_number": "814-536-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARBARINO",
        "first_name": "ANDREW",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD039547L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010115820001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007708200001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.