Active NPI
Derienzo Family Practice
- Family Medicine Physician
- Charleroi, PA
National Provider Identifier
1720050289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DERIENZO FAMILY PRACTICE
- Practice address
- 17 Arentzen Blvd
Charleroi, PA 15022-1085 - Phone
- (724) 483-3581
- Fax
- (724) 483-3483
- NPI assigned
- Feb 7, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Umberto Anthony Derienzo, MD
- Title
- Owner
- Phone
- (724) 483-3581
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
17 Arentzen Blvd
Charleroi, PA 15022-1085
Mailing address
17 Arentzen Blvd
Charleroi, PA 15022-1085
Phone (724) 483-3581
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Charleroi, PA
- NPI 1427021674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1720050289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 ARENTZEN BLVD",
"city": "CHARLEROI",
"state": "PA",
"postal_code": "150221085",
"telephone_number": "724-483-3581",
"fax_number": "724-483-3483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 ARENTZEN BLVD",
"city": "CHARLEROI",
"state": "PA",
"postal_code": "150221085",
"telephone_number": "724-483-3581",
"fax_number": "724-483-3483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DERIENZO FAMILY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DERIENZO",
"authorized_official_first_name": "UMBERTO",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "724-483-3581",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleroi, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.