Provider Demographics
NPI:1265460539
Name:PINCIOTTI, JOSEPH E JR (DO)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:E
Last Name:PINCIOTTI
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8500-6335
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-6335
Mailing Address - Country:US
Mailing Address - Phone:215-295-7555
Mailing Address - Fax:215-295-3685
Practice Address - Street 1:301 W BRIDGE ST
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:PA
Practice Address - Zip Code:19067-2356
Practice Address - Country:US
Practice Address - Phone:215-295-7555
Practice Address - Fax:215-295-3685
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS-006266L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0089316000OtherIBC PERSONAL CHOICE
PA2074937OtherAETNA
PABUP006OtherOXFORD
PA175173OtherHIGHMARK BCBS
PA175173OtherHORIZON BCBS
NJ6395601Medicaid
PA0011277840002Medicaid
PA0089316000OtherKEYSTONE HEALTH PLAN EAST
PA30075485OtherKEYSTONE FIRST BRISTOL
PA30075488OtherKEYSTONE FIRST MORRISVILLE
PA30075485OtherKEYSTONE FIRST BRISTOL
PA175173GH2Medicare PIN
PA175173HSRMedicare ID - Type Unspecified