Active NPI
Eastern Pennsylvania Physician Services LLC
- Pediatrics Physician
- East Norriton, PA
National Provider Identifier
1245629146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OS003411L
- Legal business name
- EASTERN PENNSYLVANIA PHYSICIAN SERVICES LLC
- Practice address
- 160 W Germantown Pike
Ste D
East Norriton, PA 19401-1386 - Phone
- (888) 829-8550
- Fax
- (855) 418-9149
- NPI assigned
- Jan 15, 2015
- Organization subpart
- Yes
- Parent organization
- VAXCARE CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Casey Deloach
- Title
- Manager
- Phone
- (888) 829-8550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OS003411L | PA | Primary |
Addresses
Primary practice location
160 W Germantown Pike
Ste D
East Norriton, PA 19401-1386
Mailing address
800 N Magnolia Ave Ste 700
Orlando, FL 32803-3264
Phone (888) 829-8550
Other practice location 1
207 N 14th St
Jeannette, PA 15644-1679
Phone (888) 829-8550
Other practice location 2
2057 State Route 130
Jeannette, PA 15644-3801
Phone (888) 829-8550
Other practice location 3
8846 Frankford Ave
Philadelphia, PA 19136-1313
Phone (888) 829-8550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHC059 | Other | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190813001371 | TX | Part B Supplier - Centralized Flu Biller | 7911234026 | Practice locations: Norristown, PA |
National Provider Directory
National Provider Directory- Part of
- Vaxcare Corporation
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
160 W Germantown Pike
Ste D
East Norriton, PA 19401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784851200000",
"number": "1245629146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 N MAGNOLIA AVE STE 700",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328033264",
"telephone_number": "888-829-8550",
"fax_number": "855-418-9149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 W GERMANTOWN PIKE",
"address_2": "STE D",
"city": "EAST NORRITON",
"state": "PA",
"postal_code": "194011386",
"telephone_number": "888-829-8550",
"fax_number": "855-418-9149"
}
],
"practiceLocations": [
{
"address_1": "207 N 14th St",
"address_purpose": "LOCATION",
"city": "Jeannette",
"state": "PA",
"postal_code": "156441679",
"country_code": "US",
"telephone_number": "888-829-8550",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2057 State Route 130",
"address_purpose": "LOCATION",
"city": "Jeannette",
"state": "PA",
"postal_code": "156443801",
"country_code": "US",
"telephone_number": "888-829-8550",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8846 Frankford Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191361313",
"country_code": "US",
"telephone_number": "888-829-8550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EASTERN PENNSYLVANIA PHYSICIAN SERVICES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VAXCARE CORPORATION",
"enumeration_date": "2015-01-15",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A",
"authorized_official_last_name": "DELOACH",
"authorized_official_first_name": "CASEY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "888-829-8550"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "PA",
"license": "OS003411L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "PHC059",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in East Norriton, PA
- East Norriton Physicians Services (Mercy Family Medicine of East Norriton)
- East Norriton Physicians Services (ENPS Radiology Group)
- East Norriton Physicians Services (Dr Jeffrey Brand)
- East Norriton Surgical Center, LLC
- East Norriton Women's Healthcare
- Einstein Medical Center Montgomery
- Einstein Medical Center Montgomery (Einstein Montgomery - Nurse Family Partnership)
- Einstein Montgomery Surgery Center LLC
- Emb Restorative Care, Inc
- Michele Catherine Emmerich, RD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.