Quakertown Pain & Rehab Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD419601L Issued in PA

Legal business name

QUAKERTOWN PAIN & REHAB CENTER

Practice address

524 W Broad St
Quakertown, PA 18951-1216

Phone

(215) 538-6113

Fax

(215) 538-6117

NPI assigned

Oct 16, 2007

Organization subpart

No

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

Authorized official

Name

Danny Hernandez

Title

Physician/Owner

Phone

(215) 583-6113

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1407045438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 W BROAD ST",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511216",
            "telephone_number": "215-538-6113",
            "fax_number": "215-538-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 W BROAD ST",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511216",
            "telephone_number": "215-538-6113",
            "fax_number": "215-538-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAKERTOWN PAIN & REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "215-583-6113"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD419601L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "2639023001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1799318",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quakertown Family Practice, PC
• Quakertown Foot Care Center Inc.
• Quakertown Internal Medicine Associates
• Quakertown Internal Medicine Associates, Inc.
• Quakertown Orthopaedic Associates
• Quakertown Pediatric Associates PC
• Quakertown Perio-Implant, Inc
• Quakertown Periodontal Associates
• Quakertown Rehabilitation Center
• Quakertown Wellness Center

• Family Medicine Physician in Quakertown, PA
• Providers in Quakertown, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.