Individual provider Active NPI

Athos R Cerrato, DO

  • Addiction Medicine (Anesthesiology) Physician
  • Havertown, PA
National Provider Identifier
1730101858
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X
License
OS-005690L Issued in PA
Practice address
1120 W Township Line Rd FL 2
Havertown, PA 19083-4930
Phone
(877) 286-5115
Fax
(866) 286-4935
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Anesthesiology) Physician 207LA0401X OS-005690L PA Primary

Addresses

Primary practice location

1120 W Township Line Rd FL 2
Havertown, PA 19083-4930

Mailing address

2207 Concord Pike Ste 290
Wilmington, DE 19803-2908
Phone (856) 981-4220

Other practice location 1

2207 Concord Pike
Ste 290
Wilmington, DE 19803-2908
Phone (856) 981-4220

Other identifiers 2

IdentifierTypeStateIssuer
203108296OtherNJTAX ID
8831807MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OS-005690LPAMDAddiction Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arc Anesthesia, P.C. Past Accepting new patients
Professional Anesthesia Consultants, PC Addiction Medicine PastSince Sep 14, 2011 Accepting new patients
Arc Anesthesia, P.C. Specialist Past Accepting new patients
Anesthesia Services, P.a. Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1730101858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 CONCORD PIKE STE 290",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032908",
            "telephone_number": "856-981-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W TOWNSHIP LINE RD FL 2",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834930",
            "telephone_number": "877-286-5115",
            "fax_number": "866-286-4935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2207 Concord Pike",
            "address_2": "STE 290",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198032908",
            "country_code": "US",
            "telephone_number": "856-981-4220",
            "fax_number": "856-914-1125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERRATO",
        "first_name": "ATHOS",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "PA",
            "license": "OS-005690L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "203108296",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8831807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.