Joseph Labricciosa D.O., P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JOSEPH LABRICCIOSA D.O., P.C.

Practice address

1999 Sproul Rd
Suite 21
Broomall, PA 19008-3508

Phone

(610) 353-5840

Fax

(610) 353-3420

NPI assigned

Jun 16, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joseph Labricciosa, D.O.NPI 1053315523

Title

Owner

Phone

(610) 353-5840

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIGHBD

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Labricciosa, DO

  • Family Medicine Physician
  • Broomall, PA
  • NPI 1053315523
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1568622371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 SPROUL RD",
            "address_2": "SUITE 21",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083508",
            "telephone_number": "610-353-5840",
            "fax_number": "610-353-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 SPROUL RD",
            "address_2": "SUITE 21",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083508",
            "telephone_number": "610-353-5840",
            "fax_number": "610-353-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH LABRICCIOSA D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "LABRICCIOSA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-353-5840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BLUE SHIELD",
            "identifier": "1646455",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP KEYSTONE",
            "identifier": "2324238001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanel Johnson, BEHAVIOR TECHNICIAN
• Dana Jolley, M.S., CCC-SLP
• Brittney Jones, PA-C
• Trevor Pearce Jones
• Joseph J Havrilla DDS Inc
• Joseph Spina, Jr.,,M.D.Associates
• Hannah Alexis Juliano, CRNP
• Michael Jurski
• Ciarnee Moon Jury, BEHAVIOR TECHNICIAN
• Richard Kaplan, MD

• Family Medicine Physician in Broomall, PA
• Providers in Broomall, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.

Verify at the official NPI Registry.