TYLER ISAAC SCICCHITANO PA-C
NPI 1730738709
Physician Assistant - Medical in Mahanoy City, PA

Q: What is Tyler Scicchitano's NPI number?

The NPI number for Tyler Scicchitano is 1730738709. It was assigned to this individual provider in the NPPES registry on September 11, 2019.

Q: What is Tyler Scicchitano's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Scicchitano was last updated on March 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 11, 2019

5 WHITE OWL AVE, MAHANOY CITY, PA 17948(570) 773-5388 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 16, 2023, Aug 12, 2022, Sep 26, 2019 and 1 more (4 updates tracked since 2019).

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About Tyler Isaac Scicchitano Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER ISAAC SCICCHITANO PA-C (NPI 1730738709) is an individual medical provider in Mahanoy City, Pennsylvania, licensed in Pennsylvania (MA060996) and active in the NPI registry since September 2019. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1730738709

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameTYLER ISAAC SCICCHITANOCredential: PA-C

Location Address5 WHITE OWL AVEMahanoy City, PA 17948-3000

Mailing Address5 White Owl AveMahanoy City, PA 17948-3000 · (866) 345-1543

Phone(570) 773-5388

Sole ProprietorNo

Enumeration DateSeptember 11, 2019

Last NPPES UpdateMarch 16, 20234 updates tracked since enumeration

NPPES CertifiedMarch 16, 2023

✔ NPI 1730738709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in PA · MA060996

Also ListedInternal MedicineTaxonomy 207R00000X · License MA060996 (PA)

5 WHITE OWL AVE, Mahanoy City, PA 17948

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Secondary Practice Locations 2

Location 1161 Cecil B Moore, Suite 204Philadelphia, PA 19122-3243 · Phone (215) 585-2144 · Fax (267) 780-7032

Location 2801 West Bay Drive, Suite 408Largo, FL 33770-3220 · Phone (215) 585-2144 · Fax (267) 780-7032

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Scicchitano's NPI number?

The NPI number for Tyler Scicchitano is 1730738709. It was assigned to this individual provider in the NPPES registry on September 11, 2019.

Where is Tyler Scicchitano located?

Tyler Scicchitano practices at 5 White Owl Ave, Mahanoy City, PA 17948. The listed phone number is (570) 773-5388.

What is Tyler Scicchitano's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Tyler Scicchitano was last updated on March 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.