Organization Active NPI

Abington Memorial Hospital

  • Pulmonary Disease Physician
  • Blue Bell, PA
National Provider Identifier
1487028262
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
ABINGTON MEMORIAL HOSPITAL
Practice address
686 Dekalb Pike
Suite 201
Blue Bell, PA 19422-1258
Phone
(215) 517-1200
Fax
(215) 517-1219
NPI assigned
Nov 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Authorized official

Name
Michael B Walsh
Title
Senior VP Finance
Phone
(215) 481-2850

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X PA Primary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X PA

Addresses

Primary practice location

686 Dekalb Pike
Suite 201
Blue Bell, PA 19422-1258

Mailing address

PO Box 826594
Philadelphia, PA 19182-6594
Phone (215) 517-1200

Other names 1

  • Abington Pulmonary and Critical Care Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160125000133 PA Part B Supplier - Clinic/Group Practice 3274437736 Receives reassigned benefits from 20 practitioners
Practice locations: Abington, PA; Blue Bell, PA; Lansdale, PA

All facility ownership & control disclosures 6

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Abington Memorial HospitalAbington, PA, CCN 39S231 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jul 1, 1966
Jul 1, 1966
Powerback RehabilitationAmbler, PA, CCN 395922 Skilled nursing facility Adp of the SNF Nov 1, 2014
Jefferson Health at Home by BayadaVoorhees, NJ, CCN 317073 Home health agency 5% Or Greater Indirect Ownership Interest (46.3%) Jun 6, 2022
Jefferson Health at Home by BayadaPhiladelphia, PA, CCN 397643 Home health agency 5% Or Greater Indirect Ownership Interest (46.3%) Jun 6, 2022
Jefferson Health at Home by BayadaHorsham, PA, CCN 397145 Home health agency 5% Or Greater Indirect Ownership Interest (45%) Jun 6, 2022
Jefferson Health at Home by BayadaHorsham, PA, CCN 391524B Hospice 5% Or Greater Indirect Ownership Interest (45%) Jun 6, 2022

National Provider Directory

National Provider Directory
Tax ID family
Abington Adult Medical54 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1487028262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 826594",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191826594",
            "telephone_number": "215-517-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 DEKALB PIKE",
            "address_2": "SUITE 201",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221258",
            "telephone_number": "215-517-1200",
            "fax_number": "215-517-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABINGTON MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SENIOR VP FINANCE",
        "authorized_official_telephone_number": "215-481-2850"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abington Pulmonary and Critical Care Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Abington Pulmonary and Critical Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blue Bell, PA

Sources for this page

Verify at the official NPI Registry.