Individual provider Active NPI

Robert F Giuliano, DO

  • Otolaryngology/Facial Plastic Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1689712606
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
C20004052 Issued in DE
Practice address
1849 S 15TH St
Philadelphia, PA 19145-2301
Phone
(215) 629-1353
Fax
(215) 629-1395
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Immunology (Allergy & Immunology) Physician 207KI0005X 25MB06984800 NJ
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X OS004431L PA
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X C20004052 DE Primary

Addresses

Primary practice location

1849 S 15TH St
Philadelphia, PA 19145-2301

Mailing address

1849 S 15TH St
Philadelphia, PA 19145-2301
Phone (215) 629-1353

Other identifiers 1

IdentifierTypeStateIssuer
0000515503MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081031000182 NJ Practitioner - Otolaryngology 9739248048 Reassigns benefits to 1 organization
I20081124000397 PA Practitioner - Otolaryngology 9739248048 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB06984800NJMDClinical & Laboratory Immunology (Allergy & Immunology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A J Woodring MD Associates Past Accepting new patients
Associates in Audiology of Chester County Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1689712606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 S 15TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452301",
            "telephone_number": "215-629-1353",
            "fax_number": "215-629-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 S 15TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452301",
            "telephone_number": "215-629-1353",
            "fax_number": "215-629-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIULIANO",
        "first_name": "ROBERT",
        "middle_name": "F",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "NJ",
            "license": "25MB06984800",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "PA",
            "license": "OS004431L",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "DE",
            "license": "C20004052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000515503",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.