NPIMap

Organization Active NPI

Eastwick Radiology Assocs.

Doing business as Mercy Fitzgerald Hospital Outpatient

  • Radiologic Technologist
  • Darby, PA
National Provider Identifier
1154424026
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
Legal business name
EASTWICK RADIOLOGY ASSOCS.
Doing business as
Mercy Fitzgerald Hospital Outpatient
Practice address
501 South 54TH Street
Mercy Fitzgerald Outpatient Center
Darby, PA 19023
Phone
(610) 237-2525
NPI assigned
Sep 6, 2006
Last updated
Nov 5, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Authorized official

Name
Mr. Joseph H. Bradley
Title
Cfo
Phone
(610) 567-6771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 247100000X PA Primary

Addresses

Primary practice location

501 South 54TH Street
Mercy Fitzgerald Outpatient Center
Darby, PA 19023

Mailing address

501 South 54TH St.
Darby, PA 19023-1330
Phone (610) 237-2525

Other identifiers 1

IdentifierTypeStateIssuer
39S156OtherPAMEDICARE ID TYPE UNSPECIFIED

Other names 1

  • Mercy Fitzgerald Hospital Outpatient Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Misericordia Div MCMC19 organizations share this tax ID, including this one
Part of
Misericordia Div MCMC

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1154424026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SOUTH 54TH ST.",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231330",
            "telephone_number": "610-237-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SOUTH 54TH STREET",
            "address_2": "MERCY FITZGERALD OUTPATIENT CENTER",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "19023",
            "telephone_number": "610-237-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTWICK RADIOLOGY ASSOCS.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA",
        "enumeration_date": "2006-09-06",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "610-567-6771",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID  TYPE UNSPECIFIED",
            "identifier": "39S156",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Fitzgerald Hospital Outpatient",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.