Organization Active NPI

Tri-County Women's Healthcare, LTD

  • Gynecology Physician
  • Jenkintown, PA
National Provider Identifier
1295799575
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
TRI-COUNTY WOMEN'S HEALTHCARE, LTD
Practice address
100 Old York Rd
Suite 3-108
Jenkintown, PA 19046-3606
Phone
(215) 885-5600
Fax
(215) 885-1721
NPI assigned
Apr 13, 2006
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
Dr. Jay M Sivitz, M.D.
Title
President
Phone
(215) 885-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

100 Old York Rd
Suite 3-108
Jenkintown, PA 19046-3606

Mailing address

100 Old York Rd
Suite 3-108
Jenkintown, PA 19046-3606
Phone (215) 885-5600

Other identifiers 2

IdentifierTypeStateIssuer
0045351000OtherPABLUE SHIELD
2103OtherPAAETNA USHC

Other names 1

  • Tri-County OB/GYN,Ltd Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295799575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OLD YORK RD",
            "address_2": "SUITE 3-108",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463606",
            "telephone_number": "215-885-5600",
            "fax_number": "215-885-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OLD YORK RD",
            "address_2": "SUITE 3-108",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463606",
            "telephone_number": "215-885-5600",
            "fax_number": "215-885-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY WOMEN'S HEALTHCARE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIVITZ",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-885-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0045351000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHC",
            "identifier": "2103",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-County OB/GYN,Ltd",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.