Active NPI
J. Anne Nicole De la Fuente Del Rosario, MD
- Internal Medicine Physician
- Jermyn, PA
National Provider Identifier
1386388536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD493752
- Practice address
- 5 S Washington Ave
Jermyn, PA 18433-1121 - Phone
- (570) 230-0019
- Fax
- (570) 230-0013
- NPI assigned
- Apr 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD493752 | PA | Primary |
Addresses
Primary practice location
5 S Washington Ave
Jermyn, PA 18433-1121
Mailing address
1705 Cherry St
Scranton, PA 18505-3972
Phone (570) 241-6781
Other practice location 1
435 E Henrietta Rd
Rochester, NY 14620-4629
Phone (585) 414-6440
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1705 Cherry St
Scranton, PA 18505-3972
501 S Washington Ave
Suite 1000
Scranton, PA 18505-3805
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD493752 | PA | MD | Internal Medicine Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Scranton, PA
- NPI 1194739979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1386388536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 CHERRY ST",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185053972",
"telephone_number": "570-241-6781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 S WASHINGTON AVE",
"city": "JERMYN",
"state": "PA",
"postal_code": "184331121",
"telephone_number": "570-230-0019",
"fax_number": "570-230-0013"
}
],
"practiceLocations": [
{
"address_1": "435 E Henrietta Rd",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146204629",
"country_code": "US",
"telephone_number": "585-414-6440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEL ROSARIO",
"first_name": "J. ANNE NICOLE",
"middle_name": "DE LA FUENTE",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-25",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD493752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jermyn, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.