NPIMap

Organization Active NPI

Beaumont Retirement Services, Inc.

  • Clinic/Center
  • Bryn Mawr, PA
National Provider Identifier
1346498532
Registry record updated Dec 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
849466 Issued in PA
Legal business name
BEAUMONT RETIREMENT SERVICES, INC.
Practice address
601 N Ithan Ave
Bryn Mawr, PA 19010-1782
Phone
(610) 526-7000
Fax
(610) 525-0293
NPI assigned
Sep 3, 2008
Last updated
Dec 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2008

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

Authorized official

Name
Mr. J. David Mustin
Title
Vice President/Finance
Phone
(610) 526-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 849466 PA Primary

Addresses

Primary practice location

601 N Ithan Ave
Bryn Mawr, PA 19010-1782

Mailing address

601 N Ithan Ave
Bryn Mawr, PA 19010-1782
Phone (610) 526-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081223000024 PA Part B Supplier - Clinic/Group Practice 3678632940 Receives reassigned benefits from 2 practitioners
Practice locations: Bryn Mawr, PA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Beaumont at Bryn Mawr3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229990400000",
    "number": "1346498532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N ITHAN AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101782",
            "telephone_number": "610-526-7000",
            "fax_number": "610-525-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N ITHAN AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101782",
            "telephone_number": "610-526-7000",
            "fax_number": "610-525-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT RETIREMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-12-23",
        "status": "A",
        "authorized_official_last_name": "MUSTIN",
        "authorized_official_first_name": "J. DAVID",
        "authorized_official_title_or_position": "VICE PRESIDENT/FINANCE",
        "authorized_official_telephone_number": "610-526-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "849466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; 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.