Active NPI
Woodbourne Family Practice, L.L.C.
- Family Medicine Physician
- Levittown, PA
National Provider Identifier
1144200023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WOODBOURNE FAMILY PRACTICE, L.L.C.
- Practice address
- 1609 Woodbourne Rd
Suite 101
Levittown, PA 19057-1500 - Phone
- (215) 945-1500
- Fax
- (215) 945-9192
- NPI assigned
- Jan 18, 2006
- 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
- Richard H Goldhammer, D.O.
- Title
- President
- Phone
- (215) 945-1500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1609 Woodbourne Rd
Suite 101
Levittown, PA 19057-1500
Mailing address
1609 Woodbourne Rd
Suite 101
Levittown, PA 19057-1500
Phone (215) 945-1500
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118864300 | Other | PA | U.S. DEPARTMENT OF LABOR |
| 1509982 | Other | PA | UMWA |
| CI1444 | Other | PA | MEDICARE TRAVELERS |
| 0017214600002 | Medicaid | PA | |
| 0036 | Other | PA | AETNA USHC HMO |
| 1026402 | Other | PA | KEYSTONE MERCY |
| 0263375002 | Other | PA | CIGNA |
National Provider Directory
National Provider DirectoryLocations
1609 Woodbourne Rd
Ste 101
Levittown, PA 19057
Phone (215) 945-1500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256083200000",
"number": "1144200023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1609 WOODBOURNE RD",
"address_2": "SUITE 101",
"city": "LEVITTOWN",
"state": "PA",
"postal_code": "190571500",
"telephone_number": "215-945-1500",
"fax_number": "215-945-9192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 WOODBOURNE RD",
"address_2": "SUITE 101",
"city": "LEVITTOWN",
"state": "PA",
"postal_code": "190571500",
"telephone_number": "215-945-1500",
"fax_number": "215-945-9192"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODBOURNE FAMILY PRACTICE, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-18",
"last_updated": "2009-10-21",
"status": "A",
"authorized_official_last_name": "GOLDHAMMER",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-945-1500",
"authorized_official_credential": "D.O."
},
"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": "U.S. DEPARTMENT OF LABOR",
"identifier": "118864300",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "1509982",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE TRAVELERS",
"identifier": "CI1444",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017214600002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC HMO",
"identifier": "0036",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "1026402",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0263375002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Levittown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.