Organization Active NPI

Apex Diagnostics-W Penn

  • Neurology Physician
  • Connellsville, PA
National Provider Identifier
1164114682
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
APEX DIAGNOSTICS-W PENN
Practice address
2614 Memorial Blvd Ste a
Connellsville, PA 15425-1405
Phone
(410) 808-0248
NPI assigned
May 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Melissa Catherine McCarthy
Title
Billing Specialist
Phone
(443) 595-4441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

2614 Memorial Blvd Ste a
Connellsville, PA 15425-1405

Mailing address

2012 S Tollgate Rd Ste 100
Bel Air, MD 21015-5901
Phone (866) 526-8088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240403002449 PA Part B Supplier - Clinic/Group Practice 9739541475 Receives reassigned benefits from 3 practitioners
Practice locations: Connellsville, PA

National Provider Directory

National Provider Directory

Locations

2012 S Tollgate Rd
Ste 100
Bel Air, MD 21015
Phone (410) 569-5155

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1164114682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 S TOLLGATE RD STE 100",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155901",
            "telephone_number": "866-526-8088",
            "fax_number": "866-526-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 MEMORIAL BLVD STE A",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154251405",
            "telephone_number": "410-808-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX DIAGNOSTICS-W PENN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "443-595-4441"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Connellsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.