Individual provider Active NPI

Joseph H Lanzillo, M.D.

  • Radiation Oncology Physician
  • Ephrata, PA
National Provider Identifier
1760472823
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD029390E Issued in PA
Practice address
460 N Reading Rd
Ephrata, PA 17522-9606
Phone
(717) 721-4840
Fax
(717) 738-3558
NPI assigned
Oct 28, 2005
Last updated
Dec 11, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 43699 KY
Radiation Oncology Physician 2085R0001X MD029390E PA Primary

Addresses

Primary practice location

460 N Reading Rd
Ephrata, PA 17522-9606

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 741-8180

Other identifiers 2

IdentifierTypeStateIssuer
0010522530004MedicaidPA
7100013850MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050228000283 PA Practitioner - Radiation Oncology 0648223966 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Feb 6, 2017 Accepting new patients
Wellspan Medical Group CurrentSince Feb 6, 2017 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Pottstown Hospital, LLC Radiation Oncology CurrentSince Oct 3, 2017 Accepting new patients
Radiation Oncology Associates, PA Past Accepting new patients
Pottstown Hospital, LLC Past Accepting new patients
Radiation Oncology Care Associates PastSince Oct 11, 2005 Accepting new patients
Lancaster Radiology Associates, LTD. Radiation Oncology Past Accepting new patients

Locations

169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311

460 N Reading Rd
Ephrata, PA 17522
Phone (717) 721-4840

844 Tuck St
Lebanon, PA 17042
Phone (717) 274-8875

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

1611 Medical Dr
Pottstown, PA 19464
Phone (610) 327-7300

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

25 Monument Rd
Ste 94
York, PA 17403
Phone (717) 741-8180

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

Organizations & group practices 8

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1760472823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-741-8180",
            "fax_number": "717-741-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 N READING RD",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175229606",
            "telephone_number": "717-721-4840",
            "fax_number": "717-738-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANZILLO",
        "first_name": "JOSEPH",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "KY",
            "license": "43699",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD029390E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010522530004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100013850",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

Verify at the official NPI Registry.