Individual provider Active NPI

Joseph F Reitano Jr., MD

  • Internal Medicine Physician
  • Newtown Square, PA
National Provider Identifier
1831155183
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD013234E Issued in PA
Practice address
3475 W Chester Pike
Ste 200
Newtown Square, PA 19073-4280
Phone
(610) 356-0300
Fax
(610) 356-1981
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD013234E PA Primary

Addresses

Primary practice location

3475 W Chester Pike
Ste 200
Newtown Square, PA 19073-4280

Mailing address

3475 W Chester Pike
Ste 200
Newtown Square, PA 19073-4280
Phone (610) 356-0300

Other identifiers 1

IdentifierTypeStateIssuer
18075740101MedicaidPA

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Primary Care Past Accepting new patients
Health Access Network 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1831155183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 W CHESTER PIKE",
            "address_2": "STE 200",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190734280",
            "telephone_number": "610-356-0300",
            "fax_number": "610-356-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 W CHESTER PIKE",
            "address_2": "STE 200",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190734280",
            "telephone_number": "610-356-0300",
            "fax_number": "610-356-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITANO",
        "first_name": "JOSEPH",
        "middle_name": "F",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD013234E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18075740101",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.