NPIMap

Organization Active NPI

Kosmorsky Medical Associates, LLC

  • Family Medicine Physician
  • Newtown, PA
National Provider Identifier
1093746547
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KOSMORSKY MEDICAL ASSOCIATES, LLC
Practice address
23 Cambridge Lane
Newtown, PA 18940-3326
Phone
(215) 504-0414
Fax
(215) 504-4002
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephan John Kosmorsky, D.O.NPI 1518930429
Title
Owner/President
Phone
(215) 504-0414

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

23 Cambridge Lane
Newtown, PA 18940-3326

Mailing address

23 Cambridge Lane
Newtown, PA 18940-3326
Phone (215) 504-0414

Other identifiers 1

IdentifierTypeStateIssuer
0009215560022MedicaidPA

Other names 1

  • Newtown Primary Care Doing business as

National Provider Directory

National Provider Directory

Locations

23 Cambridge Ln
Newtown, PA 18940
Phone (215) 504-0414

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093746547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CAMBRIDGE LANE",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403326",
            "telephone_number": "215-504-0414",
            "fax_number": "215-504-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CAMBRIDGE LANE",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403326",
            "telephone_number": "215-504-0414",
            "fax_number": "215-504-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOSMORSKY MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOSMORSKY",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "215-504-0414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009215560022",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newtown Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.