Mercy Management of Southeastern Pennsylvania

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA

Doing business as

Mercy Management of Southeastern Pennsylvania

Practice address

1503 Lansdowne Ave Ste 1001
Darby, PA 19023-1330

Phone

(610) 237-2770

Fax

(610) 237-2771

NPI assigned

Aug 17, 2017

Organization subpart

No

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

Authorized official

Name

Amit Powar

Title

President, Medical Group

Phone

(215) 710-6573

Specialties & licenses 2

Addresses

Other names 1

• Mercy Management of Southeastern Pennsylvania Doing business as

Locations

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1104342583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 UNIVERSITY DR STE 300",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 LANSDOWNE AVE STE 1001",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231330",
            "telephone_number": "610-237-2770",
            "fax_number": "610-237-2771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 Providence Rd Ste 9",
            "address_purpose": "LOCATION",
            "city": "Secane",
            "state": "PA",
            "postal_code": "190182900",
            "country_code": "US",
            "telephone_number": "610-237-2770",
            "fax_number": "610-237-2771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2821 Island Ave Ste 172",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191532328",
            "country_code": "US",
            "telephone_number": "610-237-2770",
            "fax_number": "610-237-2771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Baltimore Pike Ste 14Ll",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "PA",
            "postal_code": "190642800",
            "country_code": "US",
            "telephone_number": "610-237-4104",
            "fax_number": "610-237-2553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "POWAR",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "PRESIDENT, MEDICAL GROUP",
        "authorized_official_telephone_number": "215-710-6573"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Management of Southeastern Pennsylvania",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthopaedic Surgery Physician in Darby, PA
• Providers in Darby, PA by specialty
• Orthopaedic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.