Organization Active NPI

New Life Cardiovascular Care, P.C.

  • Cardiovascular Disease Physician
  • Glenside, PA
National Provider Identifier
1205983491
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
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 ,PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Michael W Milbourne, MDNPI 1255399366
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

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.

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.

Verify at the official NPI Registry.