1710921911 NPI number — DR. JOSEPH JOHN ARCURI JR. M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710921911 NPI number — DR. JOSEPH JOHN ARCURI JR. M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

ARCURI

Provider First Name:

JOSEPH

Provider Middle Name:

JOHN

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

JR.

Provider Credential Text:

M.D.

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1710921911

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

10/09/2023

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

2100 MACK BLVD

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

ALLENTOWN

Provider Business Mailing Address State Name:

PA

Provider Business Mailing Address Postal Code:

18103-5622

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

484-884-4500

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

179 INDEPENDENCE RD

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

EAST STROUDSBURG

Provider Business Practice Location Address State Name:

PA

Provider Business Practice Location Address Postal Code:

18301-9207

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

570-421-8526

Provider Business Practice Location Address Fax Number:

570-421-7899

Provider Enumeration Date:

06/16/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 208M00000X , with the licence number:  25MA08693200 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 207R00000X , with the licence number: MD069740L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
• Taxonomy code: 207R00000X , with the licence number: 261922 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

• Identifier: 1055139 . This is a "ARAZ" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: 7777470 , issued by the state of ( SD ) . This identifiers is of the category "MEDICAID".
• Identifier: 1024761 . This is a "PREFERRED ONE" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: 178475700 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
• Identifier: HP31246 . This is a "HEALTHPARTNERS" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: 0058604 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
• Identifier: 04-05068 . This is a "MEDICA CHOICE & PRIMARY" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: 34320500 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
• Identifier: 0559740 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
• Identifier: 10387 , issued by the state of ( ND ) . This identifiers is of the category "MEDICAID".
• Identifier: 140054 . This is a "UCARE" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".