Organization Active NPI

Vincent N Grattolino DPM

  • Podiatrist
  • Scranton, PA
National Provider Identifier
1750578555
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC002316L Issued in PA
Legal business name
VINCENT N GRATTOLINO DPM
Practice address
203 N Main Ave
Scranton, PA 18504-3303
Phone
(570) 344-3338
Fax
(570) 963-0534
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Authorized official

Name
Vincent N Grattolino, DPM
Title
Podiatrist
Phone
(570) 344-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X SC002316L PA Primary

Addresses

Primary practice location

203 N Main Ave
Scranton, PA 18504-3303

Mailing address

203 N Main Ave
Scranton, PA 18504-3303
Phone (570) 344-3338

National Provider Directory

National Provider Directory

Locations

203 N Main Ave
Scranton, PA 18504
Phone (570) 344-3338

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1750578555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N MAIN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185043303",
            "telephone_number": "570-344-3338",
            "fax_number": "570-963-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N MAIN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185043303",
            "telephone_number": "570-344-3338",
            "fax_number": "570-963-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT N GRATTOLINO DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "GRATTOLINO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "570-344-3338",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002316L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.