Active NPI
Heritage Medical Group, LLP
Doing business as Susquehanna Surgeons
- Surgery Physician
- Wormleysburg, PA
National Provider Identifier
1972757102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- HERITAGE MEDICAL GROUP, LLP
- Doing business as
- Susquehanna Surgeons
- Practice address
- 532 N Front St
Wormleysburg, PA 17043-1016 - Phone
- (717) 761-4141
- Fax
- (717) 761-1456
- NPI assigned
- Nov 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph A. Cincotta, MD
- Title
- Medical Director
- Phone
- (717) 761-0208
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
532 N Front St
Wormleysburg, PA 17043-1016
Mailing address
3 Walnut St
Suite 206
Lemoyne, PA 17043-1168
Phone (717) 761-0208
Other names 1
- Susquehanna Surgeons
National Provider Directory
National Provider DirectoryLocations
532 N Front St
Wormleysburg, PA 17043
Phone (717) 761-4141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226620800000",
"number": "1972757102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 WALNUT ST",
"address_2": "SUITE 206",
"city": "LEMOYNE",
"state": "PA",
"postal_code": "170431168",
"telephone_number": "717-761-0208",
"fax_number": "717-761-2023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 N FRONT ST",
"city": "WORMLEYSBURG",
"state": "PA",
"postal_code": "170431016",
"telephone_number": "717-761-4141",
"fax_number": "717-761-1456"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERITAGE MEDICAL GROUP, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-14",
"last_updated": "2008-11-14",
"status": "A",
"authorized_official_last_name": "CINCOTTA",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "717-761-0208",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Susquehanna Surgeons",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wormleysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.