Organization Active NPI

Stephen J Drabick OD PC

  • Clinic/Center
  • Schnecksville, PA
National Provider Identifier
1275713596
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
STEPHEN J DRABICK OD PC
Practice address
4110 Independence Dr Ste 400
Schnecksville, PA 18078-2585
Phone
(610) 769-4000
NPI assigned
Nov 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Stephen J Drabick, ODNPI 1043291503
Title
Owner
Phone
(610) 769-4000

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4110 Independence Dr Ste 400
Schnecksville, PA 18078-2585

Mailing address

4110 Independence Dr Ste 400
Schnecksville, PA 18078-2585
Phone (610) 769-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040628000192 PA Part B Supplier - Clinic/Group Practice 8729989066 Receives reassigned benefits from 2 practitioners
Practice locations: Schnecksville, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1275713596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 INDEPENDENCE DR STE 400",
            "city": "SCHNECKSVILLE",
            "state": "PA",
            "postal_code": "180782585",
            "telephone_number": "610-769-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 INDEPENDENCE DR STE 400",
            "city": "SCHNECKSVILLE",
            "state": "PA",
            "postal_code": "180782585",
            "telephone_number": "610-769-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN J DRABICK OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "DRABICK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-769-4000",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schnecksville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.