Active NPI
Stoltz & Hahn Medical Associates University of Pennsylvania Healt H Sy
- Non-Pharmacy Dispensing Site
- Feasterville Trevose, PA
National Provider Identifier
1043351489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- License
- OS004862L
- Legal business name
- STOLTZ & HAHN MEDICAL ASSOCIATES UNIVERSITY OF PENNSYLVANIA HEALT H SY
- Practice address
- 339 E Street Rd
Feasterville Trevose, PA 19053-7711 - Phone
- (215) 464-4111
- NPI assigned
- Feb 9, 2007
- Organization subpart
- Yes
- Parent organization
- MEDVANTX, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenny Heine
- Title
- Director of Operations
- Phone
- (858) 625-2990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | OS004862L | PA | Primary |
Addresses
Primary practice location
339 E Street Rd
Feasterville Trevose, PA 19053-7711
Mailing address
5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705
National Provider Directory
National Provider Directory- Tax ID family
- Plaza Physical Therapy
- Part of
- Tri - State Medical Group Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Trevose, PA
- NPI 1194994228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350432000000",
"number": "1043351489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5626 OBERLIN DR",
"address_2": "SUITE 110",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "339 E STREET RD",
"city": "FEASTERVILLE TREVOSE",
"state": "PA",
"postal_code": "190537711",
"telephone_number": "215-464-4111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STOLTZ & HAHN MEDICAL ASSOCIATES UNIVERSITY OF PENNSYLVANIA HEALT H SY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDVANTX, INC",
"enumeration_date": "2007-02-09",
"last_updated": "2012-10-17",
"status": "A",
"authorized_official_last_name": "HEINE",
"authorized_official_first_name": "KENNY",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "858-625-2990"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "PA",
"license": "OS004862L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Feasterville Trevose, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.