Organization Active NPI

Sweetbriar Family Medicine, PC

  • Family Medicine Physician
  • Levittown, PA
National Provider Identifier
1104863570
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS004622L Issued in PA
Legal business name
SWEETBRIAR FAMILY MEDICINE, PC
Practice address
44 Sweetbriar LN
Levittown, PA 19055-2226
Phone
(215) 946-3100
Fax
(215) 946-9965
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Dr. Leonard M Malamud, D.O.
Title
President
Phone
(215) 946-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS004622L PA Primary

Addresses

Primary practice location

44 Sweetbriar LN
Levittown, PA 19055-2226

Mailing address

44 Sweetbriar LN
Levittown, PA 19055-2226
Phone (215) 946-3100

Other identifiers 1

IdentifierTypeStateIssuer
119602MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1104863570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 SWEETBRIAR LN",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190552226",
            "telephone_number": "215-946-3100",
            "fax_number": "215-946-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 SWEETBRIAR LN",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190552226",
            "telephone_number": "215-946-3100",
            "fax_number": "215-946-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEETBRIAR FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "MALAMUD",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-946-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS004622L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119602",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.