Organization Active NPI

Adler Institute for Advanced Imaging, LLC.

  • Nuclear Medicine Physician
  • Jenkintown, PA
National Provider Identifier
1225033541
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
MD029568E Issued in PA
Legal business name
ADLER INSTITUTE FOR ADVANCED IMAGING, LLC.
Practice address
261 Old York Rd
Ste 106
Jenkintown, PA 19046-3706
Phone
(215) 887-2102
Fax
(215) 887-0525
NPI assigned
Jun 14, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Leroy P Adler, M.D.NPI 1073518395
Title
Owner/Director/Active, Attending
Phone
(215) 887-2102

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X MD029568E PA Primary

Addresses

Primary practice location

261 Old York Rd
Ste 106
Jenkintown, PA 19046-3706

Mailing address

261 Old York Rd
Ste 106
Jenkintown, PA 19046-3706
Phone (215) 887-2102

Other identifiers 1

IdentifierTypeStateIssuer
10109346460001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041206000174 PA Part B Supplier - Clinic/Group Practice 6406812148 Receives reassigned benefits from 5 practitioners
Practice locations: Jenkintown, PA

National Provider Directory

National Provider Directory

Locations

261 Old York Rd
Ste 106
Jenkintown, PA 19046
Phone (215) 887-2102

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225033541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD",
            "address_2": "STE 106",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463706",
            "telephone_number": "215-887-2102",
            "fax_number": "215-887-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD",
            "address_2": "STE 106",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463706",
            "telephone_number": "215-887-2102",
            "fax_number": "215-887-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADLER INSTITUTE FOR ADVANCED IMAGING, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADLER",
        "authorized_official_first_name": "LEROY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/DIRECTOR/ACTIVE, ATTENDING",
        "authorized_official_telephone_number": "215-887-2102",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "PA",
            "license": "MD029568E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10109346460001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.