NPIMap

Organization Active NPI

Infants Children and Youth

  • Specialist
  • Langhorne, PA
National Provider Identifier
1093776247
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OS003032L Issued in PA
Legal business name
INFANTS CHILDREN AND YOUTH
Practice address
320 Middletown Blvd
The Courtyard Suite 300
Langhorne, PA 19047-3204
Phone
(215) 752-0382
Fax
(215) 752-4807
NPI assigned
Mar 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Dr. Jerry Green, D.O.
Title
Doctor
Phone
(215) 752-0382

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X OS003032L PA Primary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X OS004790L PA
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X MD032401E PA

Addresses

Primary practice location

320 Middletown Blvd
The Courtyard Suite 300
Langhorne, PA 19047-3204

Mailing address

320 Middletown Blvd
The Courtyard Suite 300
Langhorne, PA 19047-3204
Phone (215) 752-0382

National Provider Directory

National Provider Directory

Locations

320 Middletown Blvd
Ste 300
Langhorne, PA 19047
Phone (215) 752-0381

Practitioners & affiliated clinicians

Practitioners 2

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": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1093776247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 MIDDLETOWN BLVD",
            "address_2": "THE COURTYARD SUITE 300",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190473204",
            "telephone_number": "215-752-0382",
            "fax_number": "215-752-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MIDDLETOWN BLVD",
            "address_2": "THE COURTYARD SUITE 300",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190473204",
            "telephone_number": "215-752-0382",
            "fax_number": "215-752-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFANTS CHILDREN AND YOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "215-752-0382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "OS003032L",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "OS004790L",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD032401E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.