Active NPI
Trinity Health Mid-Atlantic Medical Group
- Hospice and Palliative Medicine (Family Medicine) Physician
- Langhorne, PA
National Provider Identifier
1326425752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- Legal business name
- TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
- Practice address
- 1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201 - Phone
- (215) 710-2000
- Fax
- (215) 710-5511
- NPI assigned
- May 6, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharon Profera
- Title
- Director of Finance
- Phone
- (215) 710-2013
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | Primary |
Addresses
Primary practice location
1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201
Mailing address
41 University Dr
Suite 300
Newtown, PA 18940-1873
Phone (215) 710-5522
Other names 1
- Palliative Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040326000613 | PA | Part B Supplier - Clinic/Group Practice | 7416861885 |
Receives reassigned benefits from 703 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Richboro, PA
- NPI 1275947939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703635200000",
"number": "1326425752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 UNIVERSITY DR",
"address_2": "SUITE 300",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189401873",
"telephone_number": "215-710-5522",
"fax_number": "215-710-5181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 LANGHORNE NEWTOWN RD",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190471201",
"telephone_number": "215-710-2000",
"fax_number": "215-710-5511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-06",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A",
"authorized_official_last_name": "PROFERA",
"authorized_official_first_name": "SHARON",
"authorized_official_title_or_position": "DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "215-710-2013"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Palliative Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Palliative Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Langhorne, PA
- Trinity Health Mid-Atlantic Medical Group
- Trinity Health Mid-Atlantic Medical Group
- Trinity Health Mid-Atlantic Medical Group
- Trinity Health Mid-Atlantic Medical Group
- Trinity Health Mid-Atlantic Medical Group
- Trinity Health Mid-Atlantic Medical Group
- Trinity Health Mid-Atlantic Medical Group
- Trinity Health Mid-Atlantic Medical Group
- Trinity Health Mid-Atlantic Medical Group
- Trinity Health Mid-Atlantic Medical Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.