June M Fry, MD, PHD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD024979E Issued in PA

Practice address

8835 Germantown Avenue
Second Floor
Philadelphia, PA 19118-2718

Phone

(610) 828-4060

Fax

(610) 238-5300

NPI assigned

Jan 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

All facility ownership & control disclosures 2

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

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Keystone Hospice

  • Community Based Hospice Care Agency
  • Wyndmoor, PA
  • NPI 1992780670

  Corporate Director

  CMS ownership
• Keystonecare Home Health LLC

  • Home Health Agency
  • Wyndmoor, PA
  • NPI 1861630030

  Corporate Director

  CMS ownership

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.

• Chestnut Hill Clinic Company, LLC

  dba Behavioral Health Chestnut Hill Ave Tower Health Medical Group

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1508936071
  Medicare reassignment NPD
• Chestnut Hill Clinic Company, LLC

  dba Sports Medicine Chestnut Hill Manayunk THMG

  • Sports Medicine (Family Medicine) Physician
  • Philadelphia, PA
  • NPI 1811611692
  NPD

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1558410845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE PLACE",
            "address_2": "SUITE 5B",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603840",
            "telephone_number": "978-536-7400",
            "fax_number": "978-535-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8835 GERMANTOWN AVENUE",
            "address_2": "SECOND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182718",
            "telephone_number": "610-828-4060",
            "fax_number": "610-238-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "JUNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD024979E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0080718606",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000807186 0007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fruits of the Family Table
• Anna C Fry
• Charles Walker Fry, M.D.
• Hailey Morgan Fry, PHARMD
• Haylee Nicole Fry, LPC
• Robert D Fry, MD
• Robin R Fry, CRNP
• Vanessa R Fry, OT
• Chris Fu, RPH
• David Fu

• Neurology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Neurology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.