Healthcare Provider Details

I. General information

NPI: 1285579268
Provider Name (Legal Business Name): ANTHONY OCASIO PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

236 E RASPBERRY ST
BETHLEHEM PA
18018-4246
US

IV. Provider business mailing address

236 E RASPBERRY ST
BETHLEHEM PA
18018-4246
US

V. Phone/Fax

Practice location:
  • Phone: 610-570-0895
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: