DR. ALEC JAMES DIVITO MD
NPI 1811563109
Student in an Organized Health Care Education/Training Program in Easton, PA

Active since May 27, 2021PECOS Enrolled
1700 ST. LUKE'S BLVD., SUITE 402, EASTON, PA 18045(484) 503-3000(484) 503-3071 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2026, Jul 15, 2022, May 27, 2021 (3 updates tracked since 2021).

About Dr. Alec James Divito Md NPPES

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

DR. ALEC JAMES DIVITO MD (NPI 1811563109) is an individual student in an organized health care education/training program in Easton, Pennsylvania and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Pittsburgh.

NPPES Registry Identity

NPI1811563109
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ALEC JAMES DIVITOCredential: MD
Location Address1700 ST. LUKE'S BLVD., SUITE 402Easton, PA 18045
Mailing Address1700 St. Luke's Blvd., Suite 402Easton, PA 18045 · (484) 503-3000 · Fax (484) 503-3071
Fax(484) 503-3071
Sole ProprietorNo
Enumeration DateMay 27, 2021
Last NPPES UpdateJuly 15, 20223 updates tracked since enumeration
NPPES CertifiedJuly 15, 2022
NPI 1811563109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1700 ST. LUKE'S BLVD., Easton, PA 18045

Secondary Practice Location 1

Location 15143 Frich DrPittsburgh, PA 15227-3617 · Phone (412) 862-0639

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Alec James Divito Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
1700 ST. LUKE'S BLVD., SUITE 402
EASTON, PA 18045

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 Alec Divito's NPI number?

The NPI number for Alec Divito is 1811563109. It was assigned to this individual provider in the NPPES registry on May 27, 2021.

Where is Alec Divito located?

Alec Divito practices at 1700 St. Luke's Blvd. Suite 402, Easton, PA 18045. The listed phone number is (484) 503-3000.

What is Alec Divito's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alec Divito enrolled in Medicare?

Yes. Alec Divito is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alec Divito was last updated on July 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.