NPIMap

Individual provider Active NPI

Robert J. Concini, PA-C

  • Medical Physician Assistant
  • Scranton, PA
National Provider Identifier
1982675401
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA051003 Issued in PA
Practice address
225 Penn Ave
Scranton, PA 18503-1921
Phone
(570) 342-7864
Fax
(570) 342-7119
NPI assigned
Feb 1, 2006
Last updated
Jun 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA051003 PA Primary
Surgical Physician Assistant 363AS0400X 0110005909 VA
Surgical Physician Assistant 363AS0400X MA051003 PA

Addresses

Primary practice location

225 Penn Ave
Scranton, PA 18503-1921

Mailing address

4100 Bear Creek Blvd
Bear Creek Township, PA 18702-9717
Phone (570) 709-7048

Other practice location 1

1227 Baltimore St
Hanover, PA 17331-4406
Phone (717) 851-6454

Other practice location 2

25 Monument Rd Ste 145
York, PA 17403-5057
Phone (717) 851-6454

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL robert.concini@direct.lourdes.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040827000136 PA Practitioner - Physician Assistant 4981679636
I20180109003248 VA Practitioner - Physician Assistant 4981679636 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

225 Penn Ave
Scranton, PA 18503-1921

4100 Bear Creek Blvd
Bear Creek Township, PA 18702-9717

601 Memory LN
York, PA 17402-2206

P O Box
Franklin, TN 37068-9022

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009NEMDMental Health Counselor
MA051003PAMDMedical Physician Assistant
0110005909VAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Apr 21, 2025 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Nov 29, 2021 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Oct 16, 2017 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Oct 16, 2017 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Nov 29, 2021 Accepting new patients
Winchester Medical Center CurrentSince Apr 21, 2025 Accepting new patients
Scranton Quincy Clinic Company LLC Past Accepting new patients
Pathology Associates of NE PA LTD Past Accepting new patients
Winchester Medical Center Past Accepting new patients
North Platte Nebraska Physician Group LLC Medical Past Accepting new patients
North Platte Nebraska Physician Group LLC Past Accepting new patients

Locations

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

220 Campus Blvd
Ste 320
Winchester, VA 22601

Organizations & group practices 12

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1982675401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 BEAR CREEK BLVD",
            "city": "BEAR CREEK TOWNSHIP",
            "state": "PA",
            "postal_code": "187029717",
            "telephone_number": "570-709-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 PENN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031921",
            "telephone_number": "570-342-7864",
            "fax_number": "570-342-7119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1227 Baltimore St",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173314406",
            "country_code": "US",
            "telephone_number": "717-851-6454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Monument Rd Ste 145",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035057",
            "country_code": "US",
            "telephone_number": "717-851-6454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONCINI",
        "first_name": "ROBERT",
        "middle_name": "J.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA051003",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110005909",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA051003",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "robert.concini@direct.lourdes.com",
            "affiliation": "N",
            "endpointDescription": "Lourdes Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "169 Riverside Dr",
            "city": "Binghamton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "139054246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.