Organization Active NPI

Thomas J Craparo

  • General Practice Physician
  • Carbondale, PA
National Provider Identifier
1902056013
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD021027E Issued in PA
Legal business name
THOMAS J CRAPARO
Practice address
10 Dundaff St
Carbondale, PA 18407-1869
Phone
(570) 282-1404
Fax
(570) 282-1904
NPI assigned
Sep 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Ann Rupp
Title
Office Manager
Phone
(570) 282-1404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X MD021027E PA Primary

Addresses

Primary practice location

10 Dundaff St
Carbondale, PA 18407-1869

Mailing address

10 Dundaff St
Carbondale, PA 18407-1869
Phone (570) 282-1404

Other identifiers 1

IdentifierTypeStateIssuer
0006014030001MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1902056013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DUNDAFF ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184071869",
            "telephone_number": "570-282-1404",
            "fax_number": "570-282-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DUNDAFF ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184071869",
            "telephone_number": "570-282-1404",
            "fax_number": "570-282-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J CRAPARO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "RUPP",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "570-282-1404"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD021027E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006014030001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.