Active NPI
New Life Cardiovascular Care, P.C.
- Cardiovascular Disease Physician
- Glenside, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- NEW LIFE CARDIOVASCULAR CARE, P.C.
- Doing business as
- new life cardiovascular and primary care
- Practice address
- 805 E Willow Grove Ave # 19038
Glenside, PA 19038-7968 - Phone
- (215) 966-1546
- Fax
- (215) 764-5472
- NPI assigned
- Jan 3, 2007
- Organization subpart
- Yes
- Parent organization
- NEW LIFE CARDIOVASCULAR CARE ,PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael W Milbourne, MD
- Title
- President
- Phone
- (215) 966-1546
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Primary Care Clinic/Center | 261QP2300X | |||
| Radiology Clinic/Center | 261QR0200X |
Addresses
Primary practice location
805 E Willow Grove Ave # 19038
Glenside, PA 19038-7968
Mailing address
805 E Willow Grove Ave # 19038
Wyndmoor, PA 19038-7968
Phone (215) 966-1546
Other practice location 1
25 Bala Ave Ste 105
Bala Cynwyd, PA 19004-3214
Phone (215) 878-7100 ext. 302
Other practice location 2
805 E Willow Grove Ave # 19038
Wyndmoor, PA 19038-7968
Phone (215) 966-1546
Other practice location 3
722 Church Ln
Yeadon, PA 19050-3503
Phone (610) 622-9953
Other names 1
- new life cardiovascular and primary care
National Provider Directory
National Provider Directory- Part of
- New Life Cardiovascular Care PC
Locations
805 E Willow Grove Ave
Wyndmoor, PA 19038
Phone (215) 870-4144
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Glenside, PA
- NPI 1255399366
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711670400000",
"number": "1205983491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 E WILLOW GROVE AVE # 19038",
"city": "WYNDMOOR",
"state": "PA",
"postal_code": "190387968",
"telephone_number": "215-966-1546",
"fax_number": "215-764-5472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 E WILLOW GROVE AVE # 19038",
"city": "GLENSIDE",
"state": "PA",
"postal_code": "190387968",
"telephone_number": "215-966-1546",
"fax_number": "215-764-5472"
}
],
"practiceLocations": [
{
"address_1": "25 Bala Ave Ste 105",
"address_purpose": "LOCATION",
"city": "Bala Cynwyd",
"state": "PA",
"postal_code": "190043214",
"country_code": "US",
"telephone_number": "215-878-7100 x302",
"fax_number": "215-836-5240",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "805 E Willow Grove Ave # 19038",
"address_purpose": "LOCATION",
"city": "Wyndmoor",
"state": "PA",
"postal_code": "190387968",
"country_code": "US",
"telephone_number": "215-966-1546",
"fax_number": "215-836-5240",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "722 Church Ln",
"address_purpose": "LOCATION",
"city": "Yeadon",
"state": "PA",
"postal_code": "190503503",
"country_code": "US",
"telephone_number": "610-622-9953",
"fax_number": "610-284-6540",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NEW LIFE CARDIOVASCULAR CARE, P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NEW LIFE CARDIOVASCULAR CARE ,PC",
"enumeration_date": "2007-01-03",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A",
"authorized_official_last_name": "MILBOURNE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-966-1546",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "new life cardiovascular and primary care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "new life cardiovascular and primary care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glenside, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.