NPIMap

Organization Active NPI

Premier Orthopaedic and Sports Medicine Associates, LTD

  • Orthopaedic Surgery Physician
  • Newtown Square, PA
National Provider Identifier
1215987243
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD
Practice address
3809 W Chester Pike
Suite 150
Newtown Square, PA 19073-2331
Phone
(610) 359-5664
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Authorized official

Name
Jeffrey Malumed, MDNPI 1134176845
Title
President
Phone
(610) 359-5664

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 9

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X
Sports Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0010X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Hand Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251H1200X
Radiology Clinic/Center 261QR0200X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

3809 W Chester Pike
Suite 150
Newtown Square, PA 19073-2331

Mailing address

3809 W Chester Pike
Suite 150
Newtown Square, PA 19073-2331
Phone (610) 359-5664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040225000221 PA Part B Supplier - Clinic/Group Practice 5890681092 Receives reassigned benefits from 263 practitioners
Practice locations: Lansdale, PA; Philadelphia, PA; Media, PA; Paoli, PA; Pottstown, PA; Ridley Park, PA; Rockledge, PA; Southampton, PA…
O20110711000365 DE Part B Supplier - Clinic/Group Practice 5890681092 Receives reassigned benefits from 14 practitioners
Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Locations

300 Springhouse Dr
Ste 201
Collegeville, PA 19426
Phone (610) 489-4745

119 E Uwchlan Ave
Ste 201
Exton, PA 19341
Phone (610) 363-1995

521 Macdade Blvd
Folsom, PA 19033
Phone (610) 586-7000

501 Macdade Blvd
Fl 2
Folsom, PA 19033
Phone (610) 586-7000

2010 W Chester Pike
Ste 425
Havertown, PA 19083
Phone (610) 449-3265

2010 W Chester Pike
Ste 330
Havertown, PA 19083
Phone (610) 789-9815

5201 Pennell Rd
Ste C
Media, PA 19063

200 E State St
Ste 108
Media, PA 19063
Phone (484) 444-0820

1396 Wilmington Pike
West Chester, PA 19382
Phone (610) 399-1138

1161 McDermott Dr
West Chester, PA 19380
Phone (484) 356-9401

Interoperability endpoints

  • Direct secure messaging: lindsayedwards@po.allscriptsdirect.net
  • Direct secure messaging: lilianemin@po.allscriptsdirect.net
  • Direct secure messaging: danielevering@po.allscriptsdirect.net
  • Direct secure messaging: johnbenner@po.allscriptsdirect.net
  • Direct secure messaging: andrewfrankel@po.allscriptsdirect.net
  • Direct secure messaging: jacquelinewright@po.allscriptsdirect.net
  • Direct secure messaging: kelliekeenan@po.allscriptsdirect.net
  • Direct secure messaging: scottritterman@po.allscriptsdirect.net
  • Direct secure messaging: ritaesposito@po.allscriptsdirect.net
  • Direct secure messaging: marktantorski@po.allscriptsdirect.net
  • Direct secure messaging: aleksandremerel@po.allscriptsdirect.net
  • Direct secure messaging: dennismchugh@po.allscriptsdirect.net
  • Direct secure messaging: larrychou@po.allscriptsdirect.net
  • Direct secure messaging: paullobrutto@po.allscriptsdirect.net
  • Direct secure messaging: adamthompson@po.allscriptsdirect.net
  • Direct secure messaging: shawnpotteiger@po.allscriptsdirect.net
  • Direct secure messaging: deantrevlyn@po.allscriptsdirect.net
  • Direct secure messaging: richardlevenberg@po.allscriptsdirect.net
  • Direct secure messaging: nikospavlides@po.allscriptsdirect.net
  • Direct secure messaging: annecolton@po.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 273

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 273

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1215987243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 W CHESTER PIKE",
            "address_2": "SUITE 150",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732331",
            "telephone_number": "610-359-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 W CHESTER PIKE",
            "address_2": "SUITE 150",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732331",
            "telephone_number": "610-359-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "MALUMED",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-359-5664",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.