Individual provider Active NPI

Joseph Wolfgang Aquilina, M.D.

  • Urology Physician
  • Easton, PA
National Provider Identifier
1710218185
Registry record updated Jan 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD417701 Issued in PA
Practice address
76 Saddle LN
Easton, PA 18045-3120
Phone
(610) 515-8656
NPI assigned
Jan 24, 2010
Last updated
Jan 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD417701 PA Primary
Urology Physician 208800000X 4301405801 MI
Urology Physician 208800000X 38093 MN

Addresses

Primary practice location

76 Saddle LN
Easton, PA 18045-3120

Mailing address

76 Saddle LN
Easton, PA 18045-3120
Phone (610) 515-8656

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301405801MIMDUrology Physician
38093MNMDUrology Physician
MD417701PAMDUrology Physician

NPI Registry JSON

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

{
    "created_epoch": "1264291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264291200000",
    "number": "1710218185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 SADDLE LN",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180453120",
            "telephone_number": "610-515-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 SADDLE LN",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180453120",
            "telephone_number": "610-515-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AQUILINA",
        "first_name": "JOSEPH",
        "middle_name": "WOLFGANG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-24",
        "last_updated": "2010-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD417701",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301405801",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MN",
            "license": "38093",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2010; 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.