Organization Active NPI

Tri-State Pulmonary Medical Practice

  • Pulmonary Disease Physician
  • Monaca, PA
National Provider Identifier
1437580081
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
TRI-STATE PULMONARY MEDICAL PRACTICE
Practice address
3468 Brodhead Rd Ste 11
Monaca, PA 15061-3149
Phone
(724) 728-5995
Fax
(724) 728-6705
NPI assigned
Dec 9, 2013
Last updated
Aug 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Benjamin A Laracuente, MDNPI 1336146968
Title
Physician
Phone
(724) 728-5995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X NU Primary

Addresses

Primary practice location

3468 Brodhead Rd Ste 11
Monaca, PA 15061-3149

Mailing address

3468 Brodhead Rd Ste 11
Monaca, PA 15061-3149
Phone (724) 728-5995

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1437580081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3468 BRODHEAD RD STE 11",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150613149",
            "telephone_number": "724-728-5995",
            "fax_number": "724-728-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3468 BRODHEAD RD STE 11",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150613149",
            "telephone_number": "724-728-5995",
            "fax_number": "724-728-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE PULMONARY MEDICAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "LARACUENTE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "724-728-5995",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monaca, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.