Individual provider Active NPI

Anthony John Cantarella, PA

  • Physician Assistant
  • Hazle Township, PA
National Provider Identifier
1912620196
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA063785
Practice address
1097 N Church St
Hazle Township, PA 18202-1465
Phone
(272) 639-5650
NPI assigned
Sep 22, 2022
Last updated
Sep 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA063785 Primary

Addresses

Primary practice location

1097 N Church St
Hazle Township, PA 18202-1465

Mailing address

457 S Main St
Pittston, PA 18640-2327
Phone (570) 909-7507

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230922003853 PA Practitioner - Physician Assistant 2668826793 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144

1201 Oak St
Pittston, PA 18640-3798
Phone (570) 808-9800

506 Hazle St
Wilkes Barre, PA 18702-4646
Phone (570) 270-4366

Merit-based Incentive Payment System (MIPS)

Final score
95.15 of 100Reported as apm
Quality
83.54
Promoting interoperability
94.52
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Hospital - Anderson Campus CurrentSince Jul 19, 2023 Accepting new patients
The Carbon-Schuylkill Community Hospital, Inc. CurrentSince Jul 19, 2023 Accepting new patients
St. Luke's Quakertown Hospital CurrentSince Jul 19, 2023 Accepting new patients
Geisinger Clinic Physician Assistant CurrentSince Nov 18, 2024 Accepting new patients
St. Luke's Quakertown Hospital CurrentSince Jul 19, 2023 Accepting new patients
St Luke's Hospital CurrentSince Jul 19, 2023 Accepting new patients
St. Luke's Hosptial CurrentSince Jul 19, 2023 Accepting new patients
Geisinger Clinic CurrentSince Nov 18, 2024 Accepting new patients
St. Luke's Hospital Monroe Campus CurrentSince Jul 19, 2023 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Jul 19, 2023 Accepting new patients
St. Luke's Hospital CurrentSince Jul 19, 2023 Accepting new patients
Geisinger Bloomsburg Hospital Past Accepting new patients

Locations

111 Route 715
Brodheadsvlle, PA 18322
Phone (272) 212-0420

100 N Academy Ave
Danville, PA 17822

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

1201 Oak St
Pittston, PA 18640
Phone (570) 808-9800

300 Lackawanna Ave
Scranton, PA 18503
Phone (570) 342-7864

487 E Moorestown Rd
Wind Gap, PA 18091
Phone (484) 526-7850

Interoperability endpoints

  • Direct secure messaging: anthony.cantarella@slpg.direct-sluhn.org

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1912620196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 S MAIN ST",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186402327",
            "telephone_number": "570-909-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 N CHURCH ST",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182021465",
            "telephone_number": "272-639-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTARELLA",
        "first_name": "ANTHONY",
        "middle_name": "JOHN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "MA063785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazle Township, PA

Sources for this page

Verify at the official NPI Registry.