NPIMap

Organization Active NPI

Langhorne Physican Services

Doing business as Mercy Orthopedic Group

  • Orthopaedic Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1124200886
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
LANGHORNE PHYSICAN SERVICES
Doing business as
Mercy Orthopedic Group
Practice address
2821 Island Ave
Suite 147
Philadelphia, PA 19153-2300
Phone
(610) 626-9800
Fax
(610) 626-8856
NPI assigned
Dec 4, 2007
Last updated
Jan 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Anthony Dominic Fanelli
Title
VP, Regional Financial Reporting
Phone
(610) 886-6674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

2821 Island Ave
Suite 147
Philadelphia, PA 19153-2300

Mailing address

41 University Dr Ste 106
Newtown, PA 18940-1873

Other identifiers 2

IdentifierTypeStateIssuer
1893659OtherPAHIGHMARK BLUE SHIELD
1007787930170MedicaidPA

Other names 1

  • Mercy Orthopedic Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Langhorne Phys SVCS Pat38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1124200886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 UNIVERSITY DR STE 106",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 ISLAND AVE",
            "address_2": "SUITE 147",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191532300",
            "telephone_number": "610-626-9800",
            "fax_number": "610-626-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANGHORNE PHYSICAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "FANELLI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "DOMINIC",
        "authorized_official_title_or_position": "VP, REGIONAL FINANCIAL REPORTING",
        "authorized_official_telephone_number": "610-886-6674"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1893659",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007787930170",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Orthopedic Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Orthopedic Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

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