Active NPI
Vincent John Digiovanni, MD
- Neurology Physician
- Wilkes Barre, PA
National Provider Identifier
1497789135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD031156E
- Practice address
- 575 E Main St
Wilkes Barre, PA 18702-6944 - Phone
- (570) 270-5050
- Fax
- (570) 270-5550
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD031156E | PA | Primary |
Addresses
Primary practice location
575 E Main St
Wilkes Barre, PA 18702-6944
Mailing address
575 E Main St
Wilkes Barre, PA 18702-6944
Phone (570) 270-5050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00096660000001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352332800000",
"number": "1497789135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 E MAIN ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187026944",
"telephone_number": "570-270-5050",
"fax_number": "570-270-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 E MAIN ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187026944",
"telephone_number": "570-270-5050",
"fax_number": "570-270-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIGIOVANNI",
"first_name": "VINCENT",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2012-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD031156E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00096660000001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.