NPIMap

Organization Active NPI

True North Medical Group, LLC

Doing business as True North Pediatrics

  • Pediatrics Physician
  • Willow Grove, PA
National Provider Identifier
1205474350
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
TRUE NORTH MEDICAL GROUP, LLC
Doing business as
True North Pediatrics
Practice address
2510 Maryland Rd Ste 160
Willow Grove, PA 19090-1137
Phone
(215) 672-6622
Fax
(856) 624-3572
NPI assigned
Dec 18, 2019
Last updated
Oct 16, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
TRUE NORTH MEDICAL GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Authorized official

Name
Jacob Peltzman
Title
Administrator
Phone
(856) 470-4776

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

2510 Maryland Rd Ste 160
Willow Grove, PA 19090-1137

Mailing address

PO Box 1673
Voorhees, NJ 08043-7673
Phone (856) 266-0277

Other practice location 1

1010 Horsham Rd Ste 210
North Wales, PA 19454-1500
Phone (215) 853-3434

Other names 2

  • True North Pediatrics Doing business as
  • True North Medical Group, LLC - Specialty Care Other name

National Provider Directory

National Provider Directory
Tax ID family
True North Medical Group LLC3 organizations share this tax ID, including this one
Part of
True North Medical Group LLC

Other organizations with this tax ID 2

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

Locations

1010 Horsham Rd
Ste 210
North Wales, PA 19454
Phone (215) 853-3434

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1205474350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1673",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080437673",
            "telephone_number": "856-266-0277",
            "fax_number": "856-624-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 MARYLAND RD STE 160",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901137",
            "telephone_number": "215-672-6622",
            "fax_number": "856-624-3572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Horsham Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "North Wales",
            "state": "PA",
            "postal_code": "194541500",
            "country_code": "US",
            "telephone_number": "215-853-3434",
            "fax_number": "215-672-6566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRUE NORTH MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRUE NORTH MEDICAL GROUP, LLC",
        "enumeration_date": "2019-12-18",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "PELTZMAN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "856-470-4776"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "True North Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "True North Medical Group, LLC - Specialty Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.