Active NPI
Anthony J Saraceni, DO PC
- Internal Medicine Physician
- Shenandoah, PA
National Provider Identifier
1508837162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ANTHONY J SARACENI, DO PC
- Practice address
- 25 N Main St
Shenandoah, PA 17976-1778 - Phone
- (570) 462-2783
- Fax
- (570) 462-2783
- NPI assigned
- Jan 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony Saraceni, DO
- Title
- Owner
- Phone
- (570) 462-2783
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
25 N Main St
Shenandoah, PA 17976-1778
Mailing address
25 N Main St
Shenandoah, PA 17976-1778
Phone (570) 462-2783
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DG3559 | Other | RAILROAD MEDICARE | |
| 1384758 | Other | PA | HIGHMARK BLUE SHIELD |
| 50000240 | Other | PA | CAPITAL BLUE CROSS |
National Provider Directory
National Provider DirectoryLocations
25 N Main St
Shenandoah, PA 17976
Phone (570) 462-2783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202947200000",
"number": "1508837162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 N MAIN ST",
"city": "SHENANDOAH",
"state": "PA",
"postal_code": "179761778",
"telephone_number": "570-462-2783",
"fax_number": "570-462-2783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 N MAIN ST",
"city": "SHENANDOAH",
"state": "PA",
"postal_code": "179761778",
"telephone_number": "570-462-2783",
"fax_number": "570-462-2783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTHONY J SARACENI, DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-31",
"last_updated": "2008-02-14",
"status": "A",
"authorized_official_last_name": "SARACENI",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "570-462-2783",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DG3559",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1384758",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50000240",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shenandoah, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.