Individual provider Active NPI

Raymond C Talucci, MD

  • Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1437103116
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD041666E Issued in PA
Practice address
219 N Broad St
8TH FL
Philadelphia, PA 19107-1519
Phone
(215) 762-5010
Fax
(215) 563-5514
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD041666E PA Primary

Addresses

Primary practice location

219 N Broad St
8TH FL
Philadelphia, PA 19107-1519

Mailing address

1601 Cherry St
Suite 11511
Philadelphia, PA 19102-1321
Phone (215) 255-7822

Other identifiers 1

IdentifierTypeStateIssuer
001287518MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150217000700 NJ Practitioner - General Surgery 2668502030 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group CurrentSince Dec 28, 2014 Accepting new patients
Atlanticare Regional Medical Center Surgery CurrentSince Oct 22, 2014 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Dec 28, 2014 Accepting new patients
Atlanticare Physician Group PA Surgery Current Accepting new patients
Atlanticare Regional Medical Center CurrentSince Oct 22, 2014 Accepting new patients
Mercer Physician Services PC PastSince Feb 12, 2013 Accepting new patients

Locations

1401 Atlantic Ave
Ste 2800
Atlantic City, NJ 08401
Phone (609) 441-8036

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

2500 English Creek Ave
Ste 602
Egg Harbor Twp, NJ 08234
Phone (609) 272-6340

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1437103116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CHERRY ST",
            "address_2": "SUITE 11511",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021321",
            "telephone_number": "215-255-7822",
            "fax_number": "215-255-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N BROAD ST",
            "address_2": "8TH FL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071519",
            "telephone_number": "215-762-5010",
            "fax_number": "215-563-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALUCCI",
        "first_name": "RAYMOND",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD041666E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001287518",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.