First Avenue Occupational Medicine, LLC

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

License

MD019365E Issued in PA

Legal business name

FIRST AVENUE OCCUPATIONAL MEDICINE, LLC

Practice address

860 1St Ave
7A
King of Prussia, PA 19406-4033

Phone

(610) 265-3200

Fax

(610) 265-6522

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard J Bearoff, MD

Title

Medical Director/Managing Partner

Phone

(610) 265-3200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1467540286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 1ST AVE",
            "address_2": "STE. 7A",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064033",
            "telephone_number": "610-265-3200",
            "fax_number": "610-265-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 1ST AVE",
            "address_2": "7A",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064033",
            "telephone_number": "610-265-3200",
            "fax_number": "610-265-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST AVENUE OCCUPATIONAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "BEAROFF",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/MANAGING PARTNER",
        "authorized_official_telephone_number": "610-265-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "PA",
            "license": "MD019365E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Marie Fellin, PA
• Heather Lynne Fenstermaker, M.ED., BCBA, LBS
• Meghan Logan Ferrari
• Jocelyn Ferraro
• Feta Med, Inc.
• First Aveunue Occupational Medicine,LLC
• Tiana Fisher
• Christa Fitch
• Stephanie Rose Fitzhenry, RDN
• Shawn Fitzpatrick

• Occupational Medicine Clinic/Center in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Occupational Medicine Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.