Individual provider Active NPI

Anthony P Veglia, MD

  • Internal Medicine Physician
  • Hazleton, PA
National Provider Identifier
1497782536
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD029359E Issued in PA
Practice address
1525 N Church St
Hazleton, PA 18202-9383
Phone
(570) 454-5554
Fax
(570) 454-5967
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD029359E PA Primary

Addresses

Primary practice location

1525 N Church St
Hazleton, PA 18202-9383

Mailing address

1525 N Church St
Hazleton, PA 18202-9383
Phone (570) 454-5554

Other identifiers 2

IdentifierTypeStateIssuer
0010370230006MedicaidPA
1394OtherFIRST PRIORITY OF NEPA

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
I20110223000385 PA Practitioner - Internal Medicine 2769583384 Practice locations: Hazle Township, PA

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1497782536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 N CHURCH ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182029383",
            "telephone_number": "570-454-5554",
            "fax_number": "570-454-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 N CHURCH ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182029383",
            "telephone_number": "570-454-5554",
            "fax_number": "570-454-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGLIA",
        "first_name": "ANTHONY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD029359E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010370230006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY OF NEPA",
            "identifier": "1394",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

Verify at the official NPI Registry.