Organization Active NPI

A. Wayne Troncelliti, M.D., LLC

  • Internal Medicine Physician
  • Ardmore, PA
National Provider Identifier
1831219815
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD035270L Issued in PA
Legal business name
A. WAYNE TRONCELLITI, M.D., LLC
Practice address
1522 Wynnewood Rd
Ardmore, PA 19003-2719
Phone
(610) 642-0650
Fax
(610) 642-5118
NPI assigned
Mar 31, 2007
Last updated
Dec 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Authorized official

Name
Alfred Wayne Troncelliti, M.D.
Title
Owner
Phone
(610) 642-0650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD035270L PA Primary

Addresses

Primary practice location

1522 Wynnewood Rd
Ardmore, PA 19003-2719

Mailing address

1522 Wynnewood Rd
Ardmore, PA 19003-2719
Phone (610) 642-0650

National Provider Directory

National Provider Directory

Locations

1522 Wynnewood Rd
Ardmore, PA 19003
Phone (215) 642-0650

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1831219815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 WYNNEWOOD RD",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032719",
            "telephone_number": "610-642-0650",
            "fax_number": "610-642-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 WYNNEWOOD RD",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032719",
            "telephone_number": "610-642-0650",
            "fax_number": "610-642-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. WAYNE TRONCELLITI, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-31",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "TRONCELLITI",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-642-0650",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD035270L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.