Organization Active NPI

Ralph C Lanciano Jr DO PA

  • Ophthalmology Physician
  • Pennsauken, NJ
National Provider Identifier
1417070202
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MBO2148900 Issued in NJ
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

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Dr. Ralph C Lanciano Jr., DONPI 1922052588
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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X 25MBO2148900 NJ Primary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20070727000193 NJ Part B Supplier - Clinic/Group Practice 8628179173 Receives reassigned benefits from 1 practitioner
Practice locations: Pennsauken, NJ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.