Individual provider Active NPI

Mortimer James Strong, D.O.

  • Internal Medicine Physician
  • Jenkintown, PA
National Provider Identifier
1043292816
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS004367-L Issued in PA
Practice address
201 Old York Rd
Suite 205
Jenkintown, PA 19046-3200
Phone
(215) 885-6767
Fax
(215) 885-5297
NPI assigned
Nov 17, 2005
Last updated
Sep 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS004367-L PA Primary

Addresses

Primary practice location

201 Old York Rd
Suite 205
Jenkintown, PA 19046-3200

Mailing address

709 S 5TH St
Philadelphia, PA 19147-3043
Phone (215) 925-6633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101110000065 PA Practitioner - Internal Medicine 6709071277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ninth Street Internal Medicine Associates LTDGroup PAC ID 5799763702, 14 clinicians

Practice addresses (Care Compare)

805 Locust St
Philadelphia, PA 19107-5507
Phone (215) 440-8681

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS004367-LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ninth Street Internal Medicine Associates LTD Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients

Locations

805 Locust St
Philadelphia, PA 19107
Phone (215) 440-8681

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACJBAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/ACJBAA/Endpoint/ACJBAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1043292816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 S 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191473043",
            "telephone_number": "215-925-6633",
            "fax_number": "215-925-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 OLD YORK RD",
            "address_2": "SUITE 205",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463200",
            "telephone_number": "215-885-6767",
            "fax_number": "215-885-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRONG",
        "first_name": "MORTIMER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS004367-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

Verify at the official NPI Registry.