Active NPI
Joseph Vincent De Santi, M.D.
- Addiction Medicine (Family Medicine) Physician
- Perry Point, MD
National Provider Identifier
1629064423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- MD423667
- Practice address
- 361 Boiler House Rd BLDG 361
Perry Point, MD 21902-1103 - Phone
- (410) 642-2411
- NPI assigned
- Sep 27, 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 |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | MD423667 | PA | Primary |
| Family Medicine Physician | 207Q00000X | MD423667 | PA |
Addresses
Primary practice location
361 Boiler House Rd BLDG 361
Perry Point, MD 21902-1103
Mailing address
2718 Woodspring Dr
York, PA 17402-8521
Phone (717) 718-5465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101108315 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leader Heights Spine Joint & Nerve Associates LLC | Past | Accepting new patients | |
| Wellspan Medical Group | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- York, PA
- NPI 1376958629
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1629064423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2718 WOODSPRING DR",
"city": "YORK",
"state": "PA",
"postal_code": "174028521",
"telephone_number": "717-718-5465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 BOILER HOUSE RD BLDG 361",
"city": "PERRY POINT",
"state": "MD",
"postal_code": "219021103",
"telephone_number": "410-642-2411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE SANTI",
"first_name": "JOSEPH",
"middle_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "PA",
"license": "MD423667",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD423667",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101108315",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Perry Point, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.