Organization Active NPI

North Willow Grove Family Medicine PC

  • Family Medicine Physician
  • Willow Grove, PA
National Provider Identifier
1033108204
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTH WILLOW GROVE FAMILY MEDICINE PC
Practice address
2701 Blair Mill Rd
Suite 20
Willow Grove, PA 19090-1041
Phone
(215) 672-7070
Fax
(215) 672-6426
NPI assigned
Oct 19, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nancy Meisinger
Title
Practice Manager
Phone
(215) 672-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2701 Blair Mill Rd
Suite 20
Willow Grove, PA 19090-1041

Mailing address

2701 Blair Mill Rd
Suite 20
Willow Grove, PA 19090-1041
Phone (215) 672-7070

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033108204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 BLAIR MILL RD",
            "address_2": "SUITE 20",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901041",
            "telephone_number": "215-672-7070",
            "fax_number": "215-672-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 BLAIR MILL RD",
            "address_2": "SUITE 20",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901041",
            "telephone_number": "215-672-7070",
            "fax_number": "215-672-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH WILLOW GROVE FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEISINGER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "215-672-7070"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.