Millgrove Medical Center Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MD048674L Issued in PA

Legal business name

MILLGROVE MEDICAL CENTER INC

Practice address

2793 Egypt Rd
Audubon, PA 19403-2254

Phone

(610) 805-7471

NPI assigned

Mar 2, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Nilesh PatelNPI 1508807330

Title

President

Phone

(610) 792-3645

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

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

• Nilesh V. Patel, MD

  • Family Medicine Physician
  • Audubon, PA
  • NPI 1508807330

  PA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306108800000",
    "number": "1497053219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 DORSET CIR",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194601051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2793 EGYPT RD",
            "city": "AUDUBON",
            "state": "PA",
            "postal_code": "194032254",
            "telephone_number": "610-805-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLGROVE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-05-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NILESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-792-3645",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PA",
            "license": "MD048674L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018381130001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Frances Lowry, MS, NCC
• Wendy Marcolina, OTA
• Judy K Maxwell, DR.
• Jonathan McCaffrey, PT, DPT
• Raffi G Megerian, MD
• Mobile Diagnostic Testing of PA Inc
• Mourning Dove Home Care LLC
• Natu Patel MD PC
• Donald A. Nicklas, M.D.
• Bohng G Oh

• All providers in Audubon, PA
• Medical Specialty Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.