Organization Active NPI

Roy R Kinder Jr MD PC

  • Dermatology Physician
  • Upper Darby, PA
National Provider Identifier
1174705024
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD032726L Issued in PA
Legal business name
ROY R KINDER JR MD PC
Practice address
35 Brandon Rd
Upper Darby, PA 19082-2504
Phone
(610) 352-9021
Fax
(610) 352-4015
NPI assigned
Dec 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Roy R. Kinder Jr., MD
Title
Dermatologist
Phone
(610) 352-9021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X MD032726L PA Primary

Addresses

Primary practice location

35 Brandon Rd
Upper Darby, PA 19082-2504

Mailing address

35 Brandon Rd
Upper Darby, PA 19082-2504
Phone (610) 352-9021

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1174705024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BRANDON RD",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822504",
            "telephone_number": "610-352-9021",
            "fax_number": "610-352-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BRANDON RD",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822504",
            "telephone_number": "610-352-9021",
            "fax_number": "610-352-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY R KINDER JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "KINDER",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "610-352-9021",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD032726L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.