Active NPI
Stephen Connery Coyle, PA-C
- Physician Assistant
- Abington, PA
National Provider Identifier
1366560765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA053083
- Practice address
- 1245 Highland Ave
Suite 401
Abington, PA 19001-3725 - Phone
- (215) 481-6070
- Fax
- (215) 481-6076
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2305 | MA | |
| Physician Assistant | 363A00000X | MA053083 | PA | Primary |
Addresses
Primary practice location
1245 Highland Ave
Suite 401
Abington, PA 19001-3725
Mailing address
1245 Highland Ave
Suite 401
Abington, PA 19001-3725
Phone (215) 481-6070
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305 | MA | MD | Primary Podiatric Medicine Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516320000000",
"number": "1366560765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 HIGHLAND AVE",
"address_2": "SUITE 401",
"city": "ABINGTON",
"state": "PA",
"postal_code": "190013725",
"telephone_number": "215-481-6070",
"fax_number": "215-481-6076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 HIGHLAND AVE",
"address_2": "SUITE 401",
"city": "ABINGTON",
"state": "PA",
"postal_code": "190013725",
"telephone_number": "215-481-6070",
"fax_number": "215-481-6076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COYLE",
"first_name": "STEPHEN",
"middle_name": "CONNERY",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2018-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "2305",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA053083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.