Neurodevelopmnetal Pediatrics of the Main Line PC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

License

MD 016736-E Issued in PA

Legal business name

NEURODEVELOPMNETAL PEDIATRICS OF THE MAIN LINE PC

Practice address

919 Conestoga Rd
Building 1, Suite 100
Bryn Mawr, PA 19010-1352

Phone

(610) 520-2130

Fax

(610) 520-2131

NPI assigned

Aug 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. James Coplan, MD

Title

Owner/Physician

Phone

(610) 520-2130

Specialties & licenses 1

Addresses

Other names 1

• Neurodevelopmental Pediatrics Other name

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1124250956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 CONESTOGA RD",
            "address_2": "BUILDING 1, SUITE 100",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101352",
            "telephone_number": "610-520-2130",
            "fax_number": "610-520-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 CONESTOGA RD",
            "address_2": "BUILDING 1, SUITE 100",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101352",
            "telephone_number": "610-520-2130",
            "fax_number": "610-520-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURODEVELOPMNETAL PEDIATRICS OF THE MAIN LINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "COPLAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "610-520-2130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "PA",
            "license": "MD 016736-E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurodevelopmental Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily R Neiman, CNM
• Courtney Ellen Nelson, MD
• Wenonah Lynne Huston Nelson, MD
• Leeanne Nestel, RN BSN
• Jennifer C. Neubauer, APN
• Andrew B Newman, PA-C
• Deena L Newman, PSY.D.
• Lily An Ngo, PA-C
• Jennifer Nguyen, MD
• John Michael Nguyen, MD

• Developmental Disabilities Clinic/Center in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Developmental Disabilities Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; 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.