William John Antognoli, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

MD028396L Issued in PA

Practice address

613 Main Street
Peckville, PA 18452

Phone

(570) 489-0033

NPI assigned

Oct 30, 2014

Sex

Male

Sole proprietor

Yes

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

Practice roles

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.

• Keystone Medical Laboratories, L.P.

  • Clinical Medical Laboratory
  • Dunmore, PA
  • NPI 1619128592
  NPD (past)
• Pathology Associates of NE PA LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Dunmore, PA
  • NPI 1528022142

  Anatomic Pathology & Clinical Pathology

  NPD (past)

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1396140505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 MAIN ST",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184522303",
            "telephone_number": "570-489-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 MAIN STREET",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "18452",
            "telephone_number": "570-489-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTOGNOLI",
        "first_name": "WILLIAM",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD028396L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Albright
• Anthony S. Diecidue, P.C.
• Chad John Anuszewski, MS, LPC
• Audiology & Hearing Centers of Nepa, LLC
• Aventura at Terrace View LLC
• Megan Annette Babcanec
• Balance Pediatrics, Inc.

• Anatomic Pathology & Clinical Pathology Physician in Peckville, PA
• Providers in Peckville, 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 Oct 30, 2014; 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.