Healthcare Provider Details

I. General information

NPI: 1912840505
Provider Name (Legal Business Name): ROCCO JOHN COMBINE CNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 WILMINGTON AVE
NEW CASTLE PA
16105-2516
US

IV. Provider business mailing address

864 W PARK AVE
HUBBARD OH
44425-1564
US

V. Phone/Fax

Practice location:
  • Phone: 724-658-9001
  • Fax:
Mailing address:
  • Phone: 415-793-8714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN.CNP.0041351
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License NumberSP035454
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License NumberNP95039025
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: