Organization Active NPI

Metro Physicians Specialty Group, P.C.

  • Cardiovascular Disease Physician
  • Bala Cynwyd, PA
National Provider Identifier
1568407757
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
METRO PHYSICIANS SPECIALTY GROUP, P.C.
Practice address
2 Bala PLZ Ste PL20
Bala Cynwyd, PA 19004-1507
Phone
(610) 451-2800
Fax
(610) 660-0360
NPI assigned
Jun 19, 2006
Last updated
Mar 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Justin Perry
Title
Ao
Phone
(267) 249-1745

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary
Diagnostic Radiology Physician 2085R0202X
Vascular & Interventional Radiology Physician 2085R0204X

Addresses

Primary practice location

2 Bala PLZ Ste PL20
Bala Cynwyd, PA 19004-1507

Mailing address

PO Box 14
Bala Cynwyd, PA 19004-9998
Phone (610) 451-2800

Other practice location 1

930 Henrietta Ave Ste C
Huntingdon Valley, PA 19006-8523
Phone (610) 660-0800

Other practice location 2

803 W Trenton Ave Ste 1
Morrisville, PA 19067-3561
Phone (610) 660-0800

Other identifiers 1

IdentifierTypeStateIssuer
0075671430002MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040825000620 PA Part B Supplier - Clinic/Group Practice 2860466794 Receives reassigned benefits from 3 practitioners
Practice locations: Bala Cynwyd, PA; Huntingdon Valley, PA; Morrisville, PA

National Provider Directory

National Provider Directory

Locations

25 Bala Ave
Ste 102
Bala Cynwyd, PA 19004
Phone (215) 452-0304

333 E City Line Ave
Ste PL20
Bala Cynwyd, PA 19004
Phone (610) 664-3000

3450 High Point Blvd
Ste 200
Bethlehem, PA 18017
Phone (484) 896-9880

200 Eaglesmere Cir
Unit B
East Stroudsburg, PA 18301
Phone (484) 896-9990

700 S Henderson Rd
Ste 304
King of Prussia, PA 19406

803 W Trenton Ave
Ste 1
Morrisville, PA 19067
Phone (610) 667-2746

803 W Trenton Ave
Ste 2
Morrisville, PA 19067

2516 Germantown Ave
Philadelphia, PA 19133
Phone (215) 225-7929

5800 Ridge Ave
Ste 100
Philadelphia, PA 19128

5800 Ridge Ave
Ste 101
Philadelphia, PA 19128

252 N Radnor Chester Rd
Wayne, PA 19087
Phone (215) 576-1728

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1568407757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190049998",
            "telephone_number": "610-451-2800",
            "fax_number": "610-660-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BALA PLZ STE PL20",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041507",
            "telephone_number": "610-451-2800",
            "fax_number": "610-660-0360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 Henrietta Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Huntingdon Valley",
            "state": "PA",
            "postal_code": "190068523",
            "country_code": "US",
            "telephone_number": "610-660-0800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "803 W Trenton Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "PA",
            "postal_code": "190673561",
            "country_code": "US",
            "telephone_number": "610-660-0800",
            "fax_number": "610-660-0360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "METRO PHYSICIANS SPECIALTY GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "267-249-1745"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0075671430002",
            "state": "PA"
        }
    ],
    "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 Mar 19, 2025; 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.