# JOHN VINCENT PASTORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1295786978
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 223318 | NY | — |
| 208000000X | Pediatrics Physician | 87253 | SC | Yes |
| 208M00000X | Hospitalist Physician | 87253 | SC | — |

## Other

- **Enumeration date:** 05/15/2006
- **Last updated:** 11/03/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00026960701 | UNIVERA | — |
| 01 | — | 000528058001 | BC/BS | — |
| 01 | — | 000528058003 | BC/BS | — |
| 05 | — | 02414482 | — | NY |
| 01 | — | 050301000096 | FIDELIS | — |
| 01 | — | 051021000000 | FIDELIS | — |
| 01 | — | 1212816 | IHA | — |
