Active NPI
Burton Ginsberg, D.O.
- Family Medicine Physician
- Collegeville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS002647L
- Practice address
- 78 Second Ave
Collegeville, PA 19426-3646 - Phone
- (610) 409-9999
- Fax
- (610) 409-8470
- NPI assigned
- Nov 15, 2006
- Last updated
- Feb 11, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS002647L | PA | Primary |
Addresses
Primary practice location
78 Second Ave
Collegeville, PA 19426-3646
Mailing address
78 Second Ave
Collegeville, PA 19426-3646
Phone (610) 409-9999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS002647L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penn Medicine-Pma | Current | Accepting new patients | |
| Penn Medicine-Pma | Current | Accepting new patients |
Locations
150 Monument Rd
Ste 400
Bala Cynwyd, PA 19004
Phone (610) 747-3470
78 Second Ave
Collegeville, PA 19426
Phone (610) 409-9999
826 Main St
Ste 100
Phoenixville, PA 19460
Phone (610) 933-8000
Networks
- devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
- devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
- devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
- OH PPO
Interoperability endpoints
- https://ssproxy.pennhealth.com/PRD-FHIR/api/FHIR/R4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1013080670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 SECOND AVE",
"city": "COLLEGEVILLE",
"state": "PA",
"postal_code": "194263646",
"telephone_number": "610-409-9999",
"fax_number": "610-409-8470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 SECOND AVE",
"city": "COLLEGEVILLE",
"state": "PA",
"postal_code": "194263646",
"telephone_number": "610-409-9999",
"fax_number": "610-409-8470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GINSBERG",
"first_name": "BURTON",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS002647L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Collegeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.