Individual provider Active NPI

Victor C Modugno Jr., RN

  • Registered Nurse
  • Northumberland, PA
National Provider Identifier
1740413111
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN564757 Issued in PA
Practice address
61 Duke St
Northumberland, PA 17857-1908
Phone
(888) 473-6227
Fax
(570) 473-3070
NPI assigned
Sep 1, 2009
Last updated
Sep 1, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN564757 PA Primary

Addresses

Primary practice location

61 Duke St
Northumberland, PA 17857-1908

Mailing address

PO Box 232
Northumberland, PA 17857-0232
Phone (570) 473-7644

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN564757PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Home Health Services, Inc. Past Accepting new patients
Sun Home Health Services, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1740413111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232",
            "city": "NORTHUMBERLAND",
            "state": "PA",
            "postal_code": "178570232",
            "telephone_number": "570-473-7644",
            "fax_number": "570-473-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 DUKE ST",
            "city": "NORTHUMBERLAND",
            "state": "PA",
            "postal_code": "178571908",
            "telephone_number": "888-473-6227",
            "fax_number": "570-473-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODUGNO",
        "first_name": "VICTOR",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN564757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northumberland, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.