Active NPI
Kagen & Bardin Associates LLP
- Internal Medicine Physician
- Wyndmoor, PA
National Provider Identifier
1013959469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- KAGEN & BARDIN ASSOCIATES LLP
- Practice address
- 8200 Flourtown Avenue
Suite 6
Wyndmoor, PA 19038 - Phone
- (215) 233-1555
- Fax
- (215) 233-0308
- NPI assigned
- Jun 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Valerie A Stevens
- Title
- Practice Manager
- Phone
- (215) 654-7412
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
8200 Flourtown Avenue
Suite 6
Wyndmoor, PA 19038
Mailing address
8200 Flourtown Avenue
Suite 6
Wyndmoor, PA 19038
Phone (215) 233-1555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CI4308 | Other | PA | RAILROAD MEDICARE |
| 0019469160002 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
8200 Flourtown Ave
Ste 6
Wyndmoor, PA 19038
Phone (215) 233-1555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202342400000",
"number": "1013959469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 FLOURTOWN AVENUE",
"address_2": "SUITE 6",
"city": "WYNDMOOR",
"state": "PA",
"postal_code": "19038",
"telephone_number": "215-233-1555",
"fax_number": "215-233-0308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 FLOURTOWN AVENUE",
"address_2": "SUITE 6",
"city": "WYNDMOOR",
"state": "PA",
"postal_code": "19038",
"telephone_number": "215-233-1555",
"fax_number": "215-233-0308"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAGEN & BARDIN ASSOCIATES LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2008-02-07",
"status": "A",
"authorized_official_last_name": "STEVENS",
"authorized_official_first_name": "VALERIE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "215-654-7412",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CI4308",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019469160002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wyndmoor, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.