Individual provider Active NPI

John J Deeney, MD

  • Gynecology Physician
  • Meadowbrook, PA
National Provider Identifier
1124020680
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD024448E Issued in PA
Practice address
1650 Huntingdon Pike
Suite 118
Meadowbrook, PA 19046-8004
Phone
(215) 914-2600
Fax
(215) 938-9819
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X MD024448E PA Primary

Addresses

Primary practice location

1650 Huntingdon Pike
Suite 118
Meadowbrook, PA 19046-8004

Mailing address

12265 Townsend Rd
Suite 500
Philadelphia, PA 19154-1201
Phone (215) 856-1009

Other identifiers 1

IdentifierTypeStateIssuer
0010540240008MedicaidPA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100601000114 PA Practitioner - Obstetrics/Gynecology 6709915754 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
HR Physician Services CurrentSince Jan 1, 2003 Accepting new patients
HR Physicians SVS CurrentSince Jan 1, 2003 Accepting new patients
HR Physician Services Current Accepting new patients
Aria Health Physician Services Past Accepting new patients
Aria Health Physician Services Past Accepting new patients

Locations

3300 Tillman Dr
Bensalem, PA 19020
Phone (215) 244-7400

109 Central Ave
Cheltenham, PA 19012
Phone (215) 663-1500

1650 Huntingdon Pike
Ste 118
Meadowbrook, PA 19046
Phone (215) 914-2600

1648 Huntingdon Pike
Ofc 1ST
Meadowbrook, PA 19046

9807 Bustleton Ave
Philadelphia, PA 19115
Phone (215) 676-2200

7390 Bustleton Ave
Philadelphia, PA 19152
Phone (215) 268-9480

12265 Townsend Rd
Ste 500
Philadelphia, PA 19154

Interoperability endpoints

  • Direct secure messaging: john.deeney.1@17399.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1124020680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12265 TOWNSEND RD",
            "address_2": "SUITE 500",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191541201",
            "telephone_number": "215-856-1009",
            "fax_number": "215-856-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HUNTINGDON PIKE",
            "address_2": "SUITE 118",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468004",
            "telephone_number": "215-914-2600",
            "fax_number": "215-938-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEENEY",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": "MD024448E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010540240008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadowbrook, PA

Sources for this page

Verify at the official NPI Registry.