Organization Active NPI

Joseph Lamantia, DO PC

  • Family Medicine Physician
  • Indiana, PA
National Provider Identifier
1578640496
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS012719 Issued in PA
Legal business name
JOSEPH LAMANTIA, DO PC
Practice address
1690 Saltsburg Ave
Indiana, PA 15701-3525
Phone
(724) 463-7630
Fax
(724) 463-7632
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Authorized official

Name
Dr. Joseph Lamantia, DONPI 1467428979
Title
Ceo
Phone
(724) 463-7630

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS012719 PA Primary

Addresses

Primary practice location

1690 Saltsburg Ave
Indiana, PA 15701-3525

Mailing address

1690 Saltsburg Ave
Indiana, PA 15701-3525
Phone (724) 463-7630

Other identifiers 2

IdentifierTypeStateIssuer
001759577OtherPABCBS
0019602180003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051222000119 PA Part B Supplier - Clinic/Group Practice 1951323674 Receives reassigned benefits from 1 practitioner
Practice locations: Indiana, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1060715Joseph Lamantia DO1690 Saltsburg Avenue, Indiana, PA 15701Certificate of waiverOct 30, 2026

National Provider Directory

National Provider Directory

Locations

1690 Saltsburg Ave
Indiana, PA 15701
Phone (724) 463-7630

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1578640496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 SALTSBURG AVE",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013525",
            "telephone_number": "724-463-7630",
            "fax_number": "724-463-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 SALTSBURG AVE",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013525",
            "telephone_number": "724-463-7630",
            "fax_number": "724-463-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH LAMANTIA, DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "LAMANTIA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "724-463-7630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS012719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001759577",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019602180003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.