Active NPI
Victor C Modugno Jr., RN
- Registered Nurse
- Northumberland, PA
National Provider Identifier
1740413111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN564757
- 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, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN564757 | PA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba SUN Home Health Hospice
- Community Based Hospice Care Agency
- Northumberland, PA
- NPI 1982604203
-
- Home Health Agency
- Northumberland, PA
- NPI 1992705438
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.