Active NPI
East Norriton Physicians Services
- Family Medicine Physician
- Blue Bell, PA
National Provider Identifier
1124011929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- EAST NORRITON PHYSICIANS SERVICES
- Practice address
- 725 Skippack Pike
Parec Plaza 2ND Floor
Blue Bell, PA 19422-1741 - Phone
- (215) 542-1300
- Fax
- (215) 643-3123
- NPI assigned
- Aug 26, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter B Kenniff
- Title
- Cfo
- Phone
- (610) 567-6967
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
725 Skippack Pike
Parec Plaza 2ND Floor
Blue Bell, PA 19422-1741
Mailing address
1 W Elm St
Suite 100
Conshohocken, PA 19428-2007
Phone (610) 567-6967
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30029546 | Other | PA | KMHP |
| 427 | Other | PA | AETNA OFFICE NUMBER |
| 000040925 | Other | PA | HIGHMARK BLUE SHIELD |
| 4422178 | Other | PA | AUSHC PPO |
| 1007594660064 | Medicaid | PA | |
| 0019286 | Other | PA | AUSHC HMO |
| 0707702001 | Other | PA | KHPE |
| 202608200 | Other | PA | OWCP |
Other names 1
- Blue Bell Family Medicine
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Family Medicine Physician
- North Wales, PA
- NPI 1861482275
-
- Family Medicine Physician
- Downingtown, PA
- NPI 1578623054
-
- Family Medicine Physician
- Blue Bell, PA
- NPI 1477543882
-
- Family Medicine Physician
- Blue Bell, PA
- NPI 1518957026
-
- Family Medicine Physician
- Middletown, DE
- NPI 1730137019
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1962459156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210204800000",
"number": "1124011929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 W ELM ST",
"address_2": "SUITE 100",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282007",
"telephone_number": "610-567-6967",
"fax_number": "610-567-6955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 SKIPPACK PIKE",
"address_2": "PAREC PLAZA 2ND FLOOR",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194221741",
"telephone_number": "215-542-1300",
"fax_number": "215-643-3123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST NORRITON PHYSICIANS SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-26",
"last_updated": "2008-05-08",
"status": "A",
"authorized_official_last_name": "KENNIFF",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "610-567-6967"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KMHP",
"identifier": "30029546",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA OFFICE NUMBER",
"identifier": "427",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "000040925",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AUSHC PPO",
"identifier": "4422178",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007594660064",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AUSHC HMO",
"identifier": "0019286",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KHPE",
"identifier": "0707702001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP",
"identifier": "202608200",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Blue Bell Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Blue Bell, PA
- Jennifer Doyle, LPN
- Dr. Michael Caiazzo Psychological Services, Inc.
- Eleanor Sue-Ann Dukes, LMT
- Eagle Health Care LLC
- East Norriton Physicians Services
- Easy Social Services
- Einstein Medical Center Montgomery
- Kenneth J Eisenstock, RPH
- Elite2Serve Healthcare Solutions LLC Dba Elite2Serve Community Transitional Services
- Denice Elliott-Heim
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.