Active NPI
Joseph Biancarelli, MD
- Emergency Medicine Physician
- Carbondale, PA
National Provider Identifier
1548246713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD056700L
- Practice address
- 100 Lincoln Ave
Carbondale, PA 18407-2170 - Phone
- (570) 281-1004
- NPI assigned
- Dec 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD056700L | PA | Primary |
| Internal Medicine Physician | 207R00000X | MD056700L | PA |
Addresses
Primary practice location
100 Lincoln Ave
Carbondale, PA 18407-2170
Mailing address
66 West Gilbert Street
2ND Floor
Red Bank, NJ 07701-4918
Phone (732) 212-0051
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000784445 | Other | PA | HIGHMARK BLUE SHIELD |
| 0015279460003 | Medicaid | PA | |
| 821985 | Other | PA | FIRST PRIORITY HEALTH |
| P00426636 | Other | PA | RAILROAD MEDICARE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070206000608 | PA | Practitioner - Internal Medicine | 4385646215 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bucktail Medical Center
Practice addresses (Care Compare)
1001 Pine St
Renovo, PA 17764-1618
Phone (570) 923-1019
Hospital & facility affiliations
- Bucktail Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD056700L | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bucktail Medical Center | Current | Accepting new patients | |
| Bucktail Medical Center | Current | Accepting new patients | |
| Bucktail Medical Center | Current | Accepting new patients | |
| Incare LLC | Internal Medicine | Past | Accepting new patients |
Locations
1001 Pine St
Renovo, PA 17764
Phone (570) 923-1000
Interoperability endpoints
- jbiancarelli87878@direct-guthrie.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulance
- Renovo, PA
- NPI 1518944735
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259884800000",
"number": "1548246713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 WEST GILBERT STREET",
"address_2": "2ND FLOOR",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077014918",
"telephone_number": "732-212-0051",
"fax_number": "732-212-0713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 LINCOLN AVE",
"city": "CARBONDALE",
"state": "PA",
"postal_code": "184072170",
"telephone_number": "570-281-1004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIANCARELLI",
"first_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2009-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD056700L",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD056700L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "000784445",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015279460003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "821985",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00426636",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carbondale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.