Mercy Management of Southeastern Pennsylvania

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA

Doing business as

Mercy Management of Southeastern Pennsylvania

Practice address

1501 Lansdowne Ave Ste 305
Darby, PA 19023-1333

Phone

(610) 534-6170

Fax

(610) 534-6159

NPI assigned

Aug 10, 2017

Organization subpart

No

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

Authorized official

Name

Amit Powar

Title

President, Medical Group

Phone

(215) 710-6573

Specialties & licenses 4

Addresses

Other names 1

• Mercy Management of Southeastern Pennsylvania Doing business as

Locations

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1427573492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 UNIVERSITY DR STE 300",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LANSDOWNE AVE STE 305",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231333",
            "telephone_number": "610-534-6170",
            "fax_number": "610-534-6159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 Holme Ave Ste 305",
            "address_purpose": "LOCATION",
            "city": "Phila",
            "state": "PA",
            "postal_code": "191522029",
            "country_code": "US",
            "telephone_number": "215-335-3886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1503 Lansdowne Ave Ste 3003",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190231308",
            "country_code": "US",
            "telephone_number": "484-494-6862",
            "fax_number": "484-494-8414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Lansdowne Ave Ste 305",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190231333",
            "country_code": "US",
            "telephone_number": "610-534-6170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2821 Island Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191532300",
            "country_code": "US",
            "telephone_number": "215-748-9344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Baltimore Pike Ste 14Ll",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "PA",
            "postal_code": "190642800",
            "country_code": "US",
            "telephone_number": "610-567-5408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Lansdowne Ave Ste G103",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190231200",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2701 Dekalb Pike Ste 203",
            "address_purpose": "LOCATION",
            "city": "Norristown",
            "state": "PA",
            "postal_code": "194011820",
            "country_code": "US",
            "telephone_number": "610-534-6170",
            "fax_number": "610-534-6159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9922 Roosevelt Blvd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191151732",
            "country_code": "US",
            "telephone_number": "610-237-7922",
            "fax_number": "610-237-7955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2630 Holme Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191523004",
            "country_code": "US",
            "telephone_number": "215-332-3972",
            "fax_number": "215-331-3784",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Lansdowne Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190231333",
            "country_code": "US",
            "telephone_number": "484-494-6862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-10",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "POWAR",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "PRESIDENT, MEDICAL GROUP",
        "authorized_official_telephone_number": "215-710-6573"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Management of Southeastern Pennsylvania",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mercy Management of Southeastern Pennsylvania (MMS-Mercy Pathology Associates)
• Mercy Management of Southeastern Pennsylvania
• Mercy Management of Southeastern Pennsylvania
• Mercy Management of Southeastern Pennsylvania (Mercy Pulmonary Associates)
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• Mercy Management of Southeastern Pennsylvania (Mercy Endocrinology Group)
• Mercy Management of Southeastern Pennsylvania

• Surgery Physician in Darby, PA
• Providers in Darby, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.