Active NPI
Sandra Eglick Harkavy, MD
- Cytopathology Physician
- Darby, PA
National Provider Identifier
1316928120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cytopathology Physician
- License
- MD0214624
- Practice address
- 1500 Lansdowne Ave
Darby, PA 19023-1200 - Phone
- (610) 237-4544
- Fax
- (610) 567-5689
- NPI assigned
- Nov 9, 2005
- Last updated
- May 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | MD0214624 | PA | Primary |
Addresses
Primary practice location
1500 Lansdowne Ave
Darby, PA 19023-1200
Mailing address
1 W Elm St
Conshohocken, PA 19428-2007
Phone (610) 567-6964
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 446456 | Other | PA | BLUE SHIELD |
| 0032614000 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 0009698270006 | Medicaid | PA | |
| 4633540 | Other | PA | AETNA PPO |
| 845057 | Other | PA | AETNA HMO |
| 1098932 | Other | PA | KEYSTONE MERCY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0214624 | PA | MD | Cytopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Management of Southeastern Pennsylvania | Cytopathology | Current | Accepting new patients |
Locations
1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561
Organizations & group practices 1
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.
-
dba MMS-Mercy Pathology Associates
- Anatomic Pathology & Clinical Pathology Physician
- Darby, PA
- NPI 1407839038
Cytopathology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210204800000",
"number": "1316928120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 W ELM ST",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282007",
"telephone_number": "610-567-6964",
"fax_number": "610-567-6170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 LANSDOWNE AVE",
"city": "DARBY",
"state": "PA",
"postal_code": "190231200",
"telephone_number": "610-237-4544",
"fax_number": "610-567-5689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGLICK HARKAVY",
"first_name": "SANDRA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-09",
"last_updated": "2008-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "PA",
"license": "MD0214624",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "446456",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN EAST",
"identifier": "0032614000",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009698270006",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4633540",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "845057",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "1098932",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Darby, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.