Organization Active NPI

Darby Medical Associates Inc.

  • Clinic/Center
  • Darby, PA
National Provider Identifier
1194930883
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MD047028L Issued in PA
Legal business name
DARBY MEDICAL ASSOCIATES INC.
Practice address
869 Main St
Darby, PA 19023-2105
Phone
(610) 461-2440
Fax
(610) 461-2475
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
Dr. Celsus Iegbeojai Ebba, M.D
Title
Medical Director
Phone
(610) 461-2440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MD047028L PA Primary

Addresses

Primary practice location

869 Main St
Darby, PA 19023-2105

Mailing address

869 Main St
Darby, PA 19023-2105
Phone (610) 461-2440

Other identifiers 3

IdentifierTypeStateIssuer
0509677001OtherPAKEYSTONE
737499OtherPAAETNA
040478OtherPAAETNA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1194930883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 MAIN ST",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190232105",
            "telephone_number": "610-461-2440",
            "fax_number": "610-461-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 MAIN ST",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190232105",
            "telephone_number": "610-461-2440",
            "fax_number": "610-461-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARBY MEDICAL ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "EBBA",
        "authorized_official_first_name": "CELSUS",
        "authorized_official_middle_name": "IEGBEOJAI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "610-461-2440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "MD047028L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0509677001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "737499",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "040478",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 7, 2012; 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.