NPIMap

Organization Active NPI

Tri County Anesthesia Associates, PC

  • Anesthesiology Physician
  • Huntingdon Valley, PA
National Provider Identifier
1073571485
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
TRI COUNTY ANESTHESIA ASSOCIATES, PC
Practice address
3501 Masons Mill Rd
Suite 501
Huntingdon Valley, PA 19006-3517
Phone
(215) 830-0530
Fax
(215) 830-0542
NPI assigned
May 3, 2006
Last updated
Mar 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Authorized official

Name
Dr. Jay M Mergaman, M.D.NPI 1417915810
Title
Ceo
Phone
(215) 773-9514

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

3501 Masons Mill Rd
Suite 501
Huntingdon Valley, PA 19006-3517

Mailing address

3501 Masons Mill Rd
Suite 501
Huntingdon Valley, PA 19006-3517
Phone (215) 830-0530

Other identifiers 1

IdentifierTypeStateIssuer
001732197MedicaidPA

National Provider Directory

National Provider Directory

Locations

3501 Masons Mill Rd
Ste 501
Huntingdon Vy, PA 19006
Phone (215) 657-1315

205 Newtown Rd
Ste 208
Warminster, PA 18974

Practitioners & affiliated clinicians

Practitioners 51

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 51

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1073571485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 MASONS MILL RD",
            "address_2": "SUITE 501",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063517",
            "telephone_number": "215-830-0530",
            "fax_number": "215-830-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 MASONS MILL RD",
            "address_2": "SUITE 501",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063517",
            "telephone_number": "215-830-0530",
            "fax_number": "215-830-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY ANESTHESIA ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "MERGAMAN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-773-9514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001732197",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

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

Verify at the official NPI Registry.