Organization Active NPI

John a. Garofalo, MDPC

  • Specialist
  • Bryn Mawr, PA
National Provider Identifier
1396049516
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD036813L Issued in PA
Legal business name
JOHN A. GAROFALO, MDPC
Practice address
847 Old Lancaster Rd
Bryn Mawr, PA 19010-3200
Phone
(610) 527-1290
Fax
(610) 525-4862
NPI assigned
Jan 3, 2011
Last updated
Jan 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

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

Authorized official

Name
Dr. John A. Garofalo, MDNPI 1104850841
Title
President
Phone
(610) 527-1290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD036813L PA Primary

Addresses

Primary practice location

847 Old Lancaster Rd
Bryn Mawr, PA 19010-3200

Mailing address

847 Old Lancaster Rd
Bryn Mawr, PA 19010-3200
Phone (610) 527-1290

Other identifiers 1

IdentifierTypeStateIssuer
0048664000OtherPAINDEPENDENCE BLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110120000132 PA Part B Supplier - Clinic/Group Practice 7416136619 Receives reassigned benefits from 1 practitioner
Practice locations: West Chester, PA

National Provider Directory

National Provider Directory

Locations

847 Old Lancaster Rd
Bryn Mawr, PA 19010
Phone (610) 525-3313

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": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1396049516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 OLD LANCASTER RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103200",
            "telephone_number": "610-527-1290",
            "fax_number": "610-525-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 OLD LANCASTER RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103200",
            "telephone_number": "610-527-1290",
            "fax_number": "610-525-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A. GAROFALO, MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "GAROFALO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-527-1290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD036813L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS BLUE SHIELD",
            "identifier": "0048664000",
            "state": "PA"
        }
    ],
    "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 Jan 3, 2011; 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.