Northern Lancaster County Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTHERN LANCASTER COUNTY MEDICAL GROUP

Doing business as

Conestoga Family Practice - Adamstown

Practice address

Jefferson & Willow Streets
Adamstown, PA 19501-0515

Phone

(717) 484-4347

Fax

(717) 484-0968

NPI assigned

Sep 8, 2006

Last updated

May 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia Malizia

Title

V P Nlcmg

Phone

(717) 721-2280

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• CONESTOGA FAMILY PRACTICE - ADAMSTOWN Doing business as

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1720182009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "BROWNSTOWN",
            "state": "PA",
            "postal_code": "175080398",
            "telephone_number": "717-859-2038",
            "fax_number": "717-859-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JEFFERSON & WILLOW STREETS",
            "city": "ADAMSTOWN",
            "state": "PA",
            "postal_code": "195010515",
            "telephone_number": "717-484-4347",
            "fax_number": "717-484-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN LANCASTER COUNTY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "MALIZIA",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "V P NLCMG",
        "authorized_official_telephone_number": "717-721-2280"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013977730003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1746292",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD6938",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONESTOGA FAMILY PRACTICE - ADAMSTOWN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Celentano, NP

• Family Medicine Physician in Adamstown, PA
• Providers in Adamstown, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.