Basic Information
| Provider Information | |||||||||
| NPI: | 1801942123 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CAGGIANO | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | FRANCIS | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 783311 | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191783311 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4848844500 | ||||||||
| FaxNumber: | 4848840699 | ||||||||
| Practice Location | |||||||||
| Address1: | 564 W BROAD ST | ||||||||
| Address2: | |||||||||
| City: | HAZLETON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 182016108 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5705016400 | ||||||||
| FaxNumber: | 5704532353 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/27/2007 | ||||||||
| LastUpdateDate: | 02/12/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/12/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | MD-012833-E | PA | Y | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 558815 | 01 | AETNA | OTHER | 000727998-0008 | 05 | PA | MEDICAID | 0007279980006 | 05 | PA | MEDICAID | 28676 | 01 | PA | GEISINGER HEALTH PLAN | OTHER | P323778 | 01 | OXFORD | OTHER | 003003 | 01 | PA | FIRST PRIORITY HEALTH | OTHER | 037189 | 01 | PA | BLUE CROSS BLUE SHIELD | OTHER |