Individual provider Active NPI

Nicholas A Giuliani, MD

  • Family Medicine Physician
  • Glen Mills, PA
National Provider Identifier
1053428938
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD048822L Issued in PA
Practice address
1020 Baltimore Pike
Suite 100
Glen Mills, PA 19342-1365
Phone
(484) 227-7790
Fax
(484) 227-7791
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD048822L PA Primary

Addresses

Primary practice location

1020 Baltimore Pike
Suite 100
Glen Mills, PA 19342-1365

Mailing address

1020 Baltimore Pike
Suite 100
Glen Mills, PA 19342-1365
Phone (484) 227-7790

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
I20080827000016 PA Practitioner - Family Practice 5193890176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

830 Old Lancaster Rd
Bryn Mawr, PA 19010-3118

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD048822LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare Family Medicine CurrentSince Jul 1, 2008 Accepting new patients
Womens Health Care Group of Pennsylvania LLC Past Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

736 Baltimore Pike
Ste 5
Glen Mills, PA 19342
Phone (484) 352-0594

1020 Baltimore Pike
Ste 100
Glen Mills, PA 19342
Phone (484) 227-7790

1088 W Baltimore Pike
Ste 2208
Media, PA 19063
Phone (610) 891-3049

Organizations & group practices 2

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

Hospital & facility affiliations 8

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1053428938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 BALTIMORE PIKE",
            "address_2": "SUITE 100",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421365",
            "telephone_number": "484-227-7790",
            "fax_number": "484-227-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 BALTIMORE PIKE",
            "address_2": "SUITE 100",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421365",
            "telephone_number": "484-227-7790",
            "fax_number": "484-227-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIULIANI",
        "first_name": "NICHOLAS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD048822L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Mills, PA

Sources for this page

Verify at the official NPI Registry.