Healthcare Provider Details

I. General information

NPI: 1114912375
Provider Name (Legal Business Name): JOSEPH DAVID ROCCAFORTE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2005
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 N MAPLE AVE
GREENSBURG PA
15601-1816
US

IV. Provider business mailing address

213 N MAPLE AVE
GREENSBURG PA
15601-1816
US

V. Phone/Fax

Practice location:
  • Phone: 917-216-1595
  • Fax: 855-646-7227
Mailing address:
  • Phone: 917-216-1595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number208415
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number208415
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberMD488323
License Number StatePA
# 4
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD488323
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: