James N Black, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

MD070510L Issued in PA

Practice address

520 Craig LN
Villanova, PA 19085-1902

Phone

(404) 550-8748

Fax

(212) 202-3705

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• James Neville Black Other name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1114095346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 CRAIG LN",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851902",
            "telephone_number": "404-550-8748",
            "fax_number": "212-202-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 CRAIG LN",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851902",
            "telephone_number": "404-550-8748",
            "fax_number": "212-202-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JAMES",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD070510L",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "MD070510L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD070510L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "BLACK",
            "middle_name": "NEVILLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hannah Baumstein, CRNP, RN, LPC
• John Arthur Bennett, M.D.
• Henry Berkowitz, MD
• Prashant Bhandare, MD
• Ty Bigelow, DAT, MBA, LAT, ATC
• Cheryl Borck-Hadley, MSW
• Lee A. Bowers, PH.D.
• Tierney Brennan
• Valerie Amoss Brill, PT
• Bernard Alan Brownstein, MD

• Pulmonary Disease Physician in Villanova, PA
• Providers in Villanova, PA by specialty
• Pulmonary Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.