Organization Active NPI

Quantum Health Practice, LLC

  • Pain Medicine Physician
  • Jenkintown, PA
National Provider Identifier
1497299085
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
QUANTUM HEALTH PRACTICE, LLC
Practice address
505 York Rd
Suite 7a
Jenkintown, PA 19046-2136
Phone
(267) 626-2334
NPI assigned
Dec 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Christine Campling
Title
Credentialing
Phone
(610) 931-1217

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A0401X
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

505 York Rd
Suite 7a
Jenkintown, PA 19046-2136

Mailing address

505 York Rd
Suite 7a
Jenkintown, PA 19046-2136
Phone (267) 626-2334

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170628001059 PA Part B Supplier - Clinic/Group Practice 2668741067 Receives reassigned benefits from 1 practitioner
Practice locations: Jenkintown, PA

National Provider Directory

National Provider Directory

Locations

505 York Rd
Ste 7A
Jenkintown, PA 19046
Phone (264) 626-2334

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1497299085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 YORK RD",
            "address_2": "SUITE 7A",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462136",
            "telephone_number": "267-626-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 YORK RD",
            "address_2": "SUITE 7A",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462136",
            "telephone_number": "267-626-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM HEALTH PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "CAMPLING",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "610-931-1217"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.