Individual provider Active NPI

Jose Horacio Auday, MD

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Bala Cynwyd, PA
National Provider Identifier
1487767570
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
MD028407L Issued in PA
Practice address
333 E City Ave Ste 600
Bala Cynwyd, PA 19004-1516
Phone
(215) 546-9061
Fax
(610) 667-4764
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD028407LPAMDSports Medicine (Neuromusculoskeletal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imx Medical Management Services, Inc Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X MD028407L PA Primary

Addresses

NPPES NPI Registry

Primary practice location

333 E City Ave Ste 600
Bala Cynwyd, PA 19004-1516

Mailing address

333 E City Ave Ste 600
Bala Cynwyd, PA 19004-1516
Phone (215) 546-9061

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487767570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E CITY AVE STE 600",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041516",
            "telephone_number": "215-546-9061",
            "fax_number": "610-667-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E CITY AVE STE 600",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041516",
            "telephone_number": "215-546-9061",
            "fax_number": "610-667-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUDAY",
        "first_name": "JOSE",
        "middle_name": "HORACIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD028407L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.