NPIMap

Organization Active NPI

Comprehensive Care Medical Associates

  • Gerontology Clinical Nurse Specialist
  • Langhorne, PA
National Provider Identifier
1417327792
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X
License
SP015271 Issued in PA
Legal business name
COMPREHENSIVE CARE MEDICAL ASSOCIATES
Practice address
1205 Langhorne Newtown Rd
Suite 309
Langhorne, PA 19047-1219
Phone
(215) 741-1963
Fax
(609) 261-7199
NPI assigned
Sep 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Jo Bowen, CPC, CPC-I, CGIC
Title
Billing Manager
Phone
(609) 261-5755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SG0600X SP015271 PA Primary

Addresses

Primary practice location

1205 Langhorne Newtown Rd
Suite 309
Langhorne, PA 19047-1219

Mailing address

1205 Langhorne Newtown Rd
Suite 309
Langhorne, PA 19047-1219
Phone (215) 741-1963

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Care Medical Associates3 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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1417327792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 LANGHORNE NEWTOWN RD",
            "address_2": "SUITE 309",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471219",
            "telephone_number": "215-741-1963",
            "fax_number": "609-261-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 LANGHORNE NEWTOWN RD",
            "address_2": "SUITE 309",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471219",
            "telephone_number": "215-741-1963",
            "fax_number": "609-261-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE CARE MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "JO",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "609-261-5755",
        "authorized_official_credential": "CPC, CPC-I, CGIC"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "PA",
            "license": "SP015271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.