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

Tyler Isaac Scicchitano, PA-C

Individual provider Medical Physician Assistant · NPI 1730738709

Tyler Isaac Scicchitano, PA-C is a Medical Physician Assistant in Mahanoy City, Pennsylvania. Works from 3 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

5 White Owl Ave
Mahanoy City, PA 17948-3000
Phone: (570) 773-5388
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 801 West Bay Drive, Largo, FL 33770-3220 — (215) 585-2144
  • 161 Cecil B Moore, Philadelphia, PA 19122-3243 — (215) 585-2144

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA060996 (PA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MA060996 (PA)

Record details

NPI number1730738709
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 11, 2019
Last updated in NPPESMarch 16, 2023
Certification dateMarch 16, 2023