Raymond J Vivacqua, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

25MA07633500 Issued in NJ

Practice address

1 Medical Center Blvd
Vivacqua Pavilion Suite 341
Upland, PA 19013-3902

Phone

(610) 619-7420

Fax

(610) 876-6923

NPI assigned

Nov 3, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

97.52 of 100Reported as group

Quality

91.15

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1821089350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 PADDOCK LN",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631109",
            "telephone_number": "610-619-7420",
            "fax_number": "610-876-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "address_2": "VIVACQUA PAVILION SUITE 341",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "610-619-7420",
            "fax_number": "610-876-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVACQUA",
        "first_name": "RAYMOND",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD027985L",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA07633500",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "DE",
            "license": "C10009188",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000661297-0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rambabu Thallapaneni, M.D
• Aley El-Din M Tohamy, MD
• Regina Torsney-Durkin, M.D.
• Roger Tran, D.O.
• Yakir Konstantin Vaks, M.D.
• Matthew A Wakeley, DO
• Jana Michelle Walker, L.S.W.
• Kevin John Wansor, PA-C
• George Randolph Westby, M.D.
• Caroline Amy Wilson, M.D.

• Hematology & Oncology Physician in Upland, PA
• Providers in Upland, PA by specialty
• Hematology & Oncology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.