Organization Active NPI

Marcelino a de Santos MD PC

  • Pediatrics Physician
  • Langhorne, PA
National Provider Identifier
1033135249
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD037412L Issued in PA
Legal business name
MARCELINO A DE SANTOS MD PC
Practice address
1205 Langhorne-Newtown Rd
Ste #401 St Mary Medical Office Building
Langhorne, PA 19047
Phone
(215) 891-8322
Fax
(215) 891-8324
NPI assigned
Jul 14, 2006
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
Dr. Marcelino A De Santos, MDNPI 1396703773
Title
President Owner
Phone
(215) 891-8322

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X MD037412L PA Primary

Addresses

Primary practice location

1205 Langhorne-Newtown Rd
Ste #401 St Mary Medical Office Building
Langhorne, PA 19047

Mailing address

1205 Langhorne-Newtown Rd
Ste #401 St Mary Medical Office Building
Langhorne, PA 19047
Phone (215) 891-8322

Other identifiers 2

IdentifierTypeStateIssuer
2258851001OtherPAIBC
0061837000OtherPAIBC

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033135249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 LANGHORNE-NEWTOWN RD",
            "address_2": "STE #401 ST MARY MEDICAL OFFICE BUILDING",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "19047",
            "telephone_number": "215-891-8322",
            "fax_number": "215-891-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 LANGHORNE-NEWTOWN RD",
            "address_2": "STE #401 ST MARY MEDICAL OFFICE BUILDING",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "19047",
            "telephone_number": "215-891-8322",
            "fax_number": "215-891-8324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCELINO A DE SANTOS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DE SANTOS",
        "authorized_official_first_name": "MARCELINO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "215-891-8322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD037412L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "2258851001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0061837000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, 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.