Organization Active NPI

Montgomery Podiatry PC

  • Podiatrist
  • Huntingdon Valley, PA
National Provider Identifier
1023734365
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MONTGOMERY PODIATRY PC
Practice address
727 Welsh Rd Ste 103
Huntingdon Valley, PA 19006-6357
Phone
(215) 938-7725
Fax
(215) 938-7990
NPI assigned
Oct 18, 2022
Last updated
Nov 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Stephanie Elizabeth Varghese, DPMNPI 1538509567
Title
Owner
Phone
(267) 524-9436

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NU Primary
Foot & Ankle Surgery Podiatrist 213ES0103X NU

Addresses

Primary practice location

727 Welsh Rd Ste 103
Huntingdon Valley, PA 19006-6357

Mailing address

602 Beechwood Rd
Willow Grove, PA 19090-1304
Phone (267) 524-9436

Other practice location 1

727 Welsh Rd Ste 203
Huntingdon Valley, PA 19006-6311
Phone (215) 938-7990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230124000010 PA Part B Supplier - Clinic/Group Practice 8224409651 Receives reassigned benefits from 6 practitioners
Practice locations: Huntingdon Valley, PA
O20230630002156 PA DME Supplier - Physician - Podiatry 8224409651 Practice locations: Huntingdon Valley, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1023734365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 BEECHWOOD RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901304",
            "telephone_number": "267-524-9436",
            "fax_number": "215-938-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 WELSH RD STE 103",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066357",
            "telephone_number": "215-938-7725",
            "fax_number": "215-938-7990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "727 Welsh Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Huntingdon Valley",
            "state": "PA",
            "postal_code": "190066311",
            "country_code": "US",
            "telephone_number": "215-938-7990",
            "fax_number": "215-938-7990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MONTGOMERY PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "VARGHESE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-524-9436",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.