Organization Active NPI

Angelo L. Giunta

  • Durable Medical Equipment & Medical Supplies
  • Lewisburg, PA
National Provider Identifier
1699956920
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
CERT#6000005305 Issued in PA
Legal business name
ANGELO L. GIUNTA
Doing business as
Champion Shoe Sales & Repair
Practice address
119 N 2ND St Rear
Lewisburg, PA 17837-1564
Phone
(570) 523-0822
Fax
(570) 523-0846
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Authorized official

Name
Mr. Angelo L Giunta
Title
Owner
Phone
(570) 523-0822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X CERT#6000005305 PA Primary

Addresses

Primary practice location

119 N 2ND St Rear
Lewisburg, PA 17837-1564

Mailing address

119 N 2ND St Rear
Lewisburg, PA 17837-1564
Phone (570) 523-0822

Other names 1

  • Champion Shoe Sales & Repair Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1699956920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N 2ND ST REAR",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178371564",
            "telephone_number": "570-523-0822",
            "fax_number": "570-523-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N 2ND ST REAR",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178371564",
            "telephone_number": "570-523-0822",
            "fax_number": "570-523-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELO L. GIUNTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "GIUNTA",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-523-0822",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "CERT#6000005305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champion Shoe Sales & Repair",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.

Verify at the official NPI Registry.