Active NPI
Victor A Labbate, MD
- Rheumatology Physician
- Wilkes Barre, PA
National Provider Identifier
1689736894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- MD015777E
- Practice address
- 150 Mundy Street
Mac II BLDG
Wilkes Barre, PA 18702 - Phone
- (570) 824-7117
- Fax
- (570) 825-7610
- NPI assigned
- Dec 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | MD015777E | PA | Primary |
Addresses
Primary practice location
150 Mundy Street
Mac II BLDG
Wilkes Barre, PA 18702
Mailing address
610 Wyoming Ave
Kingston, PA 18704-3702
Phone (570) 288-5441
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 072078 | Other | PA | FIRST PRIORITY |
| 0633659 | Medicaid | PA | |
| 0042760000 | Other | PA | INDEPENDENCE BS |
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 |
|---|---|---|---|
| Arthritis Center of NE PA Inc | Rheumatology | Current | Accepting new patients |
Locations
150 Mundy St
Wilkes Barre Township, PA 18702
Phone (570) 824-0930
Organizations & group practices 1
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.
-
- Rheumatology Physician
- Wilkes Barre, PA
- NPI 1396818597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348185600000",
"number": "1689736894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 WYOMING AVE",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187043702",
"telephone_number": "570-288-5441",
"fax_number": "570-288-5842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 MUNDY STREET",
"address_2": "MAC II BLDG",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "18702",
"telephone_number": "570-824-7117",
"fax_number": "570-825-7610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABBATE",
"first_name": "VICTOR",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2012-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "PA",
"license": "MD015777E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY",
"identifier": "072078",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0633659",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BS",
"identifier": "0042760000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.