Organization Active NPI

A J Tolbert & Associates Inc

  • Audiologist
  • Downingtown, PA
National Provider Identifier
1386635076
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT00281L Issued in PA
Legal business name
A J TOLBERT & ASSOCIATES INC
Practice address
1100 Shadow Wood Dr
Downingtown, PA 19335-4049
Phone
(610) 269-6100
Fax
(610) 873-6687
NPI assigned
Nov 2, 2005
Last updated
Aug 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Authorized official

Name
Dr. Alfred James Tolbert, PHDNPI 1427083500
Title
President
Phone
(610) 269-6100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT00281L PA Primary
Speech-Language Pathologist 235Z00000X SL000071L PA
Durable Medical Equipment & Medical Supplies 332B00000X D00378 PA

Addresses

Primary practice location

1100 Shadow Wood Dr
Downingtown, PA 19335-4049

Mailing address

1100 Shadow Wood Dr
Downingtown, PA 19335-4049
Phone (610) 269-6100

Other identifiers 9

IdentifierTypeStateIssuer
0027032000OtherPAKEYSTONE HEALTH PLAN EAST
101422710 0002MedicaidPA
0001511228OtherPAIBC PPO INDEP BLUE CROSS
0001511227OtherPAINDEP BLUE CROSS
101427710 0001MedicaidPA
0342973000OtherPAKEYSTONE HEALTH PLAN EAST
101427710 0003MedicaidPA
30005306OtherPAKEYSTONE MERCY
4360649OtherPAAETNA AUD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1386635076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SHADOW WOOD DR",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193354049",
            "telephone_number": "610-269-6100",
            "fax_number": "610-873-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SHADOW WOOD DR",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193354049",
            "telephone_number": "610-269-6100",
            "fax_number": "610-873-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A J TOLBERT & ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "TOLBERT",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-269-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT00281L",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL000071L",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "D00378",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0027032000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101422710 0002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC  PPO INDEP BLUE CROSS",
            "identifier": "0001511228",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEP BLUE CROSS",
            "identifier": "0001511227",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101427710 0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0342973000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101427710 0003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30005306",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA AUD",
            "identifier": "4360649",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downingtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.