Individual provider Active NPI

Edward M. Fahy, PA-C

  • Physician Assistant
  • Doylestown, PA
National Provider Identifier
1235160862
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MP82100 Issued in NJ
Practice address
3160 Wellington Rd
Doylestown, PA 18902-1844
Phone
(215) 208-2861
NPI assigned
Jul 5, 2006
Last updated
Jun 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MP82100 NJ Primary

Addresses

Primary practice location

3160 Wellington Rd
Doylestown, PA 18902-1844

Mailing address

3160 Wellington Rd
Doylestown, PA 18902-1844
Phone (215) 208-2861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040728000541 NJ Practitioner - Physician Assistant 7911977954 Reassigns benefits to 2 organizations
I20060906000192 PA Practitioner - Physician Assistant 7911977954 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Patient Care Now LLCGroup PAC ID 6305161167, 13 clinicians

Practice addresses (Care Compare)

541 S Oxford Valley Rd
Fairless Hills, PA 19030-2612
Phone (267) 202-6433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MP82100NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Resource and Referral Center, Inc. CurrentSince Dec 1, 2020 Accepting new patients
Princeton Brain & Spine, LLC CurrentSince Jan 4, 2014 Accepting new patients
Princeton Brain & Spine, LLC CurrentSince Jan 4, 2014 Accepting new patients
Lakewood Resource and Referral Center, Inc. CurrentSince Dec 1, 2020 Accepting new patients
Medical Services of Suffolk County PC CurrentSince Jul 25, 2023 Accepting new patients
Doylestown Emergency Associates PC Past Accepting new patients
Emergency Medical Associates of New Jersey PA PastSince May 10, 2020 Accepting new patients
Atlantic Professional Services of New Jersey, P.a. Physician Assistant Past Accepting new patients
Doylestown Emergency Associates PC PastSince Apr 28, 2024 Accepting new patients

Locations

1771 Madison Ave
Lakewood, NJ 08701
Phone (732) 364-2144

731 Alexander Rd
Ste 200
Princeton, NJ 08540
Phone (609) 655-3800

501 Bath Rd
Bristol, PA 19007
Phone (215) 785-9200

501 Bath Rd
Ph
Bristol, PA 19007
Phone (215) 785-9200

1203 Langhorne Newtown Rd
Ste 138
Langhorne, PA 19047
Phone (215) 710-8644

104 Pheasant Run
Ste 105
Newtown, PA 18940
Phone (215) 968-6844

2701 DeKalb Pike
Norristown, PA 19401
Phone (215) 335-6000

5800 Ridge Ave
Philadelphia, PA 19128
Phone (215) 487-4334

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1235160862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 WELLINGTON RD",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189021844",
            "telephone_number": "215-208-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 WELLINGTON RD",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189021844",
            "telephone_number": "215-208-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHY",
        "first_name": "EDWARD",
        "middle_name": "M.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "MP82100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.