Organization Active NPI

Anthony J Saraceni, DO PC

  • Internal Medicine Physician
  • Shenandoah, PA
National Provider Identifier
1508837162
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Feb 14, 2008

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
DG3559OtherRAILROAD MEDICARE
1384758OtherPAHIGHMARK BLUE SHIELD
50000240OtherPACAPITAL BLUE CROSS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.