Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John Andre Pepen

Individual provider Surgery Physician · NPI 1144462615

John Andre Pepen is a General Surgery in Scranton, Pennsylvania. Qualified in 2009, 17 years ago. Practices with Scranton Quincy Clinic Company LLC, a 67-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
17
Licensed in
NJ, PA
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

743 Jefferson Ave Ste 104
Scranton, PA 18510-1636
Phone: (570) 207-0433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 155 Morris Ave Ste 104, Springfield, NJ 07081-1224 — (973) 232-2300

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD483480 (PA)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 25MA09709700 (NJ)

Record details

NPI number1144462615
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 30, 2009
Last updated in NPPESApril 3, 2024
Certification dateApril 3, 2024
Mailing address743 Jefferson Ave Ste 104, Scranton, PA 18510-1636

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Scranton Quincy Clinic Company Llc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Scranton