NPIMap

Organization Active NPI

Urologic Consultants of Southeastern Pennsylvania LLP

  • Urology Physician
  • Bala Cynwyd, PA
National Provider Identifier
1033287248
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UROLOGIC CONSULTANTS OF SOUTHEASTERN PENNSYLVANIA LLP
Practice address
1 Presidential Blvd
Suite 100
Bala Cynwyd, PA 19004-1017
Phone
(610) 667-3020
Fax
(610) 667-1817
NPI assigned
Dec 4, 2006
Last updated
Oct 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Authorized official

Name
Nancy Miller
Title
Practice Manager
Phone
(610) 667-3020

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X PA
Radiation Oncology Physician 2085R0001X PA
Urology Physician 208800000X PA Primary

Addresses

Primary practice location

1 Presidential Blvd
Suite 100
Bala Cynwyd, PA 19004-1017

Mailing address

1 Presidential Blvd
Suite 100
Bala Cynwyd, PA 19004-1017
Phone (610) 667-3020

Other identifiers 1

IdentifierTypeStateIssuer
1018621670001MedicaidPA

Other names 1

  • Urologic Consultants of SE PA LLP Other name

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: alanalex@midlantic.medalliesdirect.net
  • Direct secure messaging: albertdenittis@midlantic.medalliesdirect.net
  • Direct secure messaging: anthonytokarski@midlantic.medalliesdirect.net
  • Direct secure messaging: brianrosenthal@midlantic.medalliesdirect.net
  • Direct secure messaging: chelsearoberts@midlantic.medalliesdirect.net
  • Direct secure messaging: dennisbraun@midlantic.medalliesdirect.net
  • Direct secure messaging: jeffreywalker@midlantic.medalliesdirect.net
  • Direct secure messaging: laurencebelkoff@midlantic.medalliesdirect.net
  • Direct secure messaging: lauriecole@midlantic.medalliesdirect.net
  • Direct secure messaging: nicosnicolaou@midlantic.medalliesdirect.net
  • Direct secure messaging: noahmay@midlantic.medalliesdirect.net
  • Direct secure messaging: phillipginsberg@midlantic.medalliesdirect.net
  • Direct secure messaging: rachelwint@midlantic.medalliesdirect.net
  • Direct secure messaging: richardharkaway@midlantic.medalliesdirect.net
  • Direct secure messaging: stephaniecaprioli@midlantic.medalliesdirect.net
  • Direct secure messaging: teodoraschellato@midlantic.medalliesdirect.net

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1033287248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESIDENTIAL BLVD",
            "address_2": "SUITE 100",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041017",
            "telephone_number": "610-667-3020",
            "fax_number": "610-667-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PRESIDENTIAL BLVD",
            "address_2": "SUITE 100",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041017",
            "telephone_number": "610-667-3020",
            "fax_number": "610-667-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGIC CONSULTANTS OF SOUTHEASTERN PENNSYLVANIA LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "610-667-3020"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018621670001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urologic Consultants of SE PA LLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.