Active NPI
Pulmonary Center of Pennsylvania, LLC
- Pulmonary Disease Physician
- Monaca, PA
National Provider Identifier
1538833249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- PULMONARY CENTER OF PENNSYLVANIA, LLC
- Practice address
- 3468 Brodhead Rd Ste 11
Monaca, PA 15061-3149 - Phone
- (724) 728-5995
- Fax
- (724) 728-6705
- NPI assigned
- Aug 5, 2021
- 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
- Dr. Benjamin Alberto Laracuente, MD
- Title
- President
- Phone
- (724) 728-5995
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
3468 Brodhead Rd Ste 11
Monaca, PA 15061-3149
Mailing address
3468 Brodhead Rd Ste 11
Monaca, PA 15061-3149
Phone (724) 728-5995
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Monaca, PA
- NPI 1336146968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628121600000",
"number": "1538833249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3468 BRODHEAD RD STE 11",
"city": "MONACA",
"state": "PA",
"postal_code": "150613149",
"telephone_number": "724-728-5995",
"fax_number": "724-728-6705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3468 BRODHEAD RD STE 11",
"city": "MONACA",
"state": "PA",
"postal_code": "150613149",
"telephone_number": "724-728-5995",
"fax_number": "724-728-6705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PULMONARY CENTER OF PENNSYLVANIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-05",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A",
"authorized_official_last_name": "LARACUENTE",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_middle_name": "ALBERTO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "724-728-5995",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monaca, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.