Laura S Picciano, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MB07361900 Issued in NJ

Practice address

6100 Main Street
The Ripa Center
Voorhees, NJ 08043-4660

Phone

(856) 673-4912

Fax

(856) 938-2077

NPI assigned

Feb 1, 2006

Last updated

Dec 5, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Main Line Healthcare

  • Family Medicine Physician
  • Newtown Square, PA
  • NPI 1922077643

  Internal Medicine

  Medicare reassignment NPD
• Associates in Cardiovascular Education, PC

  • Cardiovascular Disease Physician
  • Philadelphia, PA
  • NPI 1356395289
  NPD (past)
• Darlene L Forth MD PC

  • Physical Medicine & Rehabilitation Physician
  • Philadelphia, PA
  • NPI 1528082138
  NPD (past)
• Inhome Doctors, PC

  • Adult Medicine Physician
  • Philadelphia, PA
  • NPI 1164477048
  NPD (past)
• TPS III of PA, LLC

  dba Hahnemann Primary Services

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1902841018
  NPD (past)

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1629040084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E. LANCASTER AVE.",
            "address_2": "SUITE 330 MOB WEST",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963443",
            "telephone_number": "610-645-6555",
            "fax_number": "610-649-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 MAIN STREET",
            "address_2": "THE RIPA CENTER",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434660",
            "telephone_number": "856-673-4912",
            "fax_number": "856-938-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCIANO",
        "first_name": "LAURA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS009621L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB07361900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017809080001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Phillipson, DPM
• Patrick Allen Philpot, D.O.
• Phoenix Physical Medicine, P.C.
• Physical Solutions LLC
• Physiocare Rehabilitation, L.L.C.
• Vickie R Pierman, OTR
• Frahnie Pierre, APN
• Brian Joseph Pimpinello, MPT
• Valerie Pino, APN
• Celeste Antoinette Pinto, DO

• Internal Medicine Physician in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.