NPIMap

Organization Active NPI

Penn Foundation Inc

  • Community/Behavioral Health Agency
  • Bristol, PA
National Provider Identifier
1023724903
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PENN FOUNDATION INC
Practice address
1200 New Rodgers Rd Ste C-14
Bristol, PA 19007-2525
Phone
(215) 257-6551
Fax
(833) 506-2774
NPI assigned
Jan 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Reaser
Title
Enrollment Coordinator
Phone
(267) 404-5861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1200 New Rodgers Rd Ste C-14
Bristol, PA 19007-2525

Mailing address

807 Lawn Ave
Sellersville, PA 18960-1549
Phone (215) 257-6551

Other names 1

  • St Luke's Penn Foundation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Penn Foundation Inc38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

Locations

1200 New Rodgers Rd
Ste C14
Bristol, PA 19007

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1023724903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 LAWN AVE",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601549",
            "telephone_number": "215-257-6551",
            "fax_number": "833-506-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NEW RODGERS RD STE C-14",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190072525",
            "telephone_number": "215-257-6551",
            "fax_number": "833-506-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "REASER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ENROLLMENT COORDINATOR",
        "authorized_official_telephone_number": "267-404-5861"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Luke's Penn Foundation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bristol, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.