Active NPI
Lcdocs LLC
- Family Medicine Physician
- Williamsport, PA
National Provider Identifier
1407570534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LCDOCS LLC
- Practice address
- 33 W 3Rd St
Williamsport, PA 17701-6523 - Phone
- (570) 429-3501
- NPI assigned
- Oct 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Calabro, DO
- Title
- Owner
- Phone
- (732) 212-0060
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
33 W 3Rd St
Williamsport, PA 17701-6523
Mailing address
66 W Gilbert St
Tinton Falls, NJ 07701-4947
Phone (732) 212-0060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221220001798 | PA | Part B Supplier - Clinic/Group Practice | 6608245386 |
Receives reassigned benefits from 12 practitioners Practice locations: Williamsport, PA |
National Provider Directory
National Provider DirectoryLocations
33 W 3rd St
Williamsport, PA 17701
Phone (570) 429-3501
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Williamsport, PA
- NPI 1659836914
Multi-Specialty, PA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720396800000",
"number": "1407570534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 W GILBERT ST",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077014947",
"telephone_number": "732-212-0060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 W 3RD ST",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177016523",
"telephone_number": "570-429-3501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LCDOCS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-03",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A",
"authorized_official_last_name": "CALABRO",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-212-0060",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.