Individual provider Active NPI

Lance Marcus Reccoppa

  • Physical Medicine & Rehabilitation Physician
  • Eagleville, PA
National Provider Identifier
1609497486
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD496006 Issued in PA
Practice address
2660 Audubon Rd
Eagleville, PA 19403-2406
Phone
(201) 654-6397
Fax
(201) 608-9241
NPI assigned
May 3, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD496006 PA Primary

Addresses

Primary practice location

2660 Audubon Rd
Eagleville, PA 19403-2406

Mailing address

PO Box 22239
New York, NY 10087-0001
Phone (201) 654-6397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Louisville School of Medicine, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5130 NW 50TH Ter
Gainesville, FL 32606-4309

PO Box
New York, NY 10087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1588464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1609497486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22239",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870001",
            "telephone_number": "201-654-6397",
            "fax_number": "201-608-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 AUDUBON RD",
            "city": "EAGLEVILLE",
            "state": "PA",
            "postal_code": "194032406",
            "telephone_number": "201-654-6397",
            "fax_number": "201-608-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECCOPPA",
        "first_name": "LANCE",
        "middle_name": "MARCUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-03",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD496006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagleville, PA

Sources for this page

Verify at the official NPI Registry.