Organization Active NPI

Heritage Medical Group, LLP

Doing business as Susquehanna Surgeons

  • Surgery Physician
  • Wormleysburg, PA
National Provider Identifier
1972757102
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on Nov 14, 2008

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.