Individual provider Active NPI

Sarah Marie Sitoski, D.O.

  • Pediatrics Physician
  • Scranton, PA
National Provider Identifier
1477875219
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OS016517 Issued in PA
Practice address
5 Morgan Hwy Ste 6
Scranton, PA 18508-2641
Phone
(570) 207-4360
Fax
(570) 383-1940
NPI assigned
Feb 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X OS016517 PA Primary

Addresses

Primary practice location

5 Morgan Hwy Ste 6
Scranton, PA 18508-2641

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other identifiers 1

IdentifierTypeStateIssuer
1028262270001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20130731000534 PA Practitioner - Pediatric Medicine 5799926903 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scranton Quincy Clinic Company LLC Pediatrics CurrentSince Jul 1, 2013 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Apr 1, 2021 Accepting new patients
Geisinger Clinic CurrentSince Apr 1, 2021 Accepting new patients
Scranton Quincy Clinic Company LLC PastSince Jul 1, 2013 Accepting new patients
Pediatric Associates of Kingston, LLC Pediatrics Past Accepting new patients

Locations

407 N State St
Clarks Summit, PA 18411
Phone (570) 586-1134

100 N Academy Ave
Danville, PA 17822

315 S Main St
Old Forge, PA 18518
Phone (570) 457-8364

125 Scranton Pocono Hwy
Scranton, PA 18505
Phone (570) 342-8500

5 Morgan Hwy
Ste 7
Scranton, PA 18508
Phone (570) 342-7864

890 Viewmont Dr
Scranton, PA 18519
Phone (570) 207-4360

Interoperability endpoints

  • Direct secure messaging: sarahs@pak.pcc-direct.com

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": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1477875219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MORGAN HWY STE 6",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185082641",
            "telephone_number": "570-207-4360",
            "fax_number": "570-383-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITOSKI",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS016517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028262270001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.