Active NPI
Jose Angel Alfano, MD
- Psychiatry Physician
- Mt Gretna, PA
National Provider Identifier
1487665857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 095378
- Practice address
- 283 South Butler Road
Mt Gretna, PA 17064 - Phone
- (717) 270-2423
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 095378 | NY | Primary |
Addresses
Primary practice location
283 South Butler Road
Mt Gretna, PA 17064
Mailing address
Nietzsche Strasse 22
Mannheim, BADEN WURTEMBERG 68165
DE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41291 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Philhaven | Past | Accepting new patients |
Organizations & group practices 1
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": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202947200000",
"number": "1487665857",
"addresses": [
{
"country_code": "DE",
"country_name": "Germany",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "NIETZSCHE STRASSE 22",
"city": "MANNHEIM",
"state": "BADEN WURTEMBERG",
"postal_code": "68165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "283 SOUTH BUTLER ROAD",
"city": "MT GRETNA",
"state": "PA",
"postal_code": "17064",
"telephone_number": "717-270-2423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALFANO",
"first_name": "JOSE",
"middle_name": "ANGEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2008-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "095378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Gretna, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.