Peter J Racciato MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

016295E Issued in PA

Legal business name

PETER J RACCIATO MD PC

Practice address

1036 N 9TH St
Stroudsburg, PA 18360-1210

Phone

(570) 421-4222

Fax

(570) 476-0581

NPI assigned

Aug 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Peter Racciato, MDNPI 1235293705

Title

President

Phone

(570) 421-4222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter J Racciato, M.D.

  • Ophthalmology Physician
  • Stroudsburg, PA
  • NPI 1235293705
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1750695326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 N 9TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601210",
            "fax_number": "570-476-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 N 9TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601210",
            "telephone_number": "570-421-4222",
            "fax_number": "570-476-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J RACCIATO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "RACCIATO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-421-4222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "016295E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.