Active NPI
Ralph C Lanciano Jr DO PA
- Ophthalmology Physician
- Pennsauken, NJ
National Provider Identifier
1417070202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25MBO2148900
- Legal business name
- RALPH C LANCIANO JR DO PA
- Practice address
- 7703 Maple Ave
Pennsauken, NJ 08109-3374 - Phone
- (856) 665-5533
- Fax
- (856) 665-5055
- NPI assigned
- Apr 9, 2007
- 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
- Dr. Ralph C Lanciano Jr., DO
- Title
- Ophthalmologist
- Phone
- (856) 665-5533
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 25MBO2148900 | NJ | Primary |
| Ophthalmology Physician | 207W00000X | 25MA07415200 | NJ |
Addresses
Primary practice location
7703 Maple Ave
Pennsauken, NJ 08109-3374
Mailing address
7703 Maple Avenue
Pennsauken, NJ 08109
Phone (856) 665-5533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7703 Maple Ave
Pennsauken, NJ 08109
Phone (856) 665-5533
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Pennsauken, NJ
- NPI 1922052588
-
- Ophthalmology Physician
- Voorhees, NJ
- NPI 1144263500
-
- Ophthalmology Physician
- Voorhees, NJ
- NPI 1003034034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222214400000",
"number": "1417070202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7703 MAPLE AVENUE",
"city": "PENNSAUKEN",
"state": "NJ",
"postal_code": "08109",
"telephone_number": "856-665-5533",
"fax_number": "856-665-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7703 MAPLE AVE",
"city": "PENNSAUKEN",
"state": "NJ",
"postal_code": "081093374",
"telephone_number": "856-665-5533",
"fax_number": "856-665-5055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RALPH C LANCIANO JR DO PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-09",
"last_updated": "2008-09-24",
"status": "A",
"authorized_official_last_name": "LANCIANO",
"authorized_official_first_name": "RALPH",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OPHTHALMOLOGIST",
"authorized_official_telephone_number": "856-665-5533",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NJ",
"license": "25MBO2148900",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NJ",
"license": "25MA07415200",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pennsauken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.