Organization Active NPI

Dr Peter Vaccaro MD Osm

  • Internal Medicine Physician
  • Bradford, PA
National Provider Identifier
1386441608
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DR PETER VACCARO MD OSM
Practice address
195 Pleasant St Unit 3
Bradford, PA 16701-1081
Phone
(814) 228-0400
NPI assigned
Feb 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Authorized official

Name
Dr. Peter Vaccaro, MDNPI 1942262563
Title
Owner
Phone
(814) 558-4551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

195 Pleasant St Unit 3
Bradford, PA 16701-1081

Mailing address

55 Lakeside Dr
Bradford, PA 16701-2477
Phone (814) 558-4551

National Provider Directory

National Provider Directory
Tax ID family
Dr Peter Vaccaro MD Osm2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1781 Park St
Olean, NY 14760
Phone (814) 558-4551

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1386441608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 LAKESIDE DR",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167012477",
            "telephone_number": "814-558-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 PLEASANT ST UNIT 3",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011081",
            "telephone_number": "814-228-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PETER VACCARO MD OSM",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-25",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "VACCARO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-558-4551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.