Active NPI
Stewart Snyder
- Other Specialist/Technologist
- Berwyn, PA
National Provider Identifier
1134645666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- Practice address
- 6 Waterloo Ave
Berwyn, PA 19312-1731 - Phone
- (610) 203-3747
- NPI assigned
- Aug 16, 2017
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | Primary |
Addresses
Primary practice location
6 Waterloo Ave
Berwyn, PA 19312-1731
Mailing address
1804 Foxmeadow Cir
Royersford, PA 19468-1565
Other practice location 1
550 Kimberton Rd
Phoenixville, PA 19460-4796
Phone (610) 304-2734
Other practice location 2
1804 Foxmeadow Cir
Royersford, PA 19468-1565
Phone (484) 919-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne Family Wellness, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1134645666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 FOXMEADOW CIR",
"city": "ROYERSFORD",
"state": "PA",
"postal_code": "194681565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 WATERLOO AVE",
"city": "BERWYN",
"state": "PA",
"postal_code": "193121731",
"telephone_number": "610-203-3747"
}
],
"practiceLocations": [
{
"address_1": "550 Kimberton Rd",
"address_purpose": "LOCATION",
"city": "Phoenixville",
"state": "PA",
"postal_code": "194604796",
"country_code": "US",
"telephone_number": "610-304-2734",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1804 Foxmeadow Cir",
"address_purpose": "LOCATION",
"city": "Royersford",
"state": "PA",
"postal_code": "194681565",
"country_code": "US",
"telephone_number": "484-919-5500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SNYDER",
"first_name": "STEWART",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-16",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berwyn, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.