Organization Active NPI

Progenyhealth, LLC

Doing business as ProgenyHealth

  • Case Management Agency
  • Plymouth Meeting, PA
National Provider Identifier
1578769949
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PROGENYHEALTH, LLC
Doing business as
ProgenyHealth
Practice address
450 Plymouth Rd Ste 200
Plymouth Meeting, PA 19462-1647
Phone
(610) 832-2001
Fax
(610) 832-2010
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Dr. Ellen L. Stang, MDNPI 1477732683
Title
Founder and Ceo
Phone
(610) 832-2001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

450 Plymouth Rd Ste 200
Plymouth Meeting, PA 19462-1647

Mailing address

450 Plymouth Rd Ste 200
Plymouth Meeting, PA 19462-1647
Phone (610) 832-2001

Other names 1

  • ProgenyHealth Doing business as

National Provider Directory

National Provider Directory

Locations

1100 E Hector St
Ste 393
Conshohocken, PA 19428

450 Plymouth Rd
Ste 200
Plymouth Meeting, PA 19462
Phone (484) 362-6520

Practitioners & affiliated clinicians

Practitioners 1

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": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1578769949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 PLYMOUTH RD STE 200",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621647",
            "telephone_number": "610-832-2001",
            "fax_number": "610-832-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 PLYMOUTH RD STE 200",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621647",
            "telephone_number": "610-832-2001",
            "fax_number": "610-832-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGENYHEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "STANG",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "FOUNDER AND CEO",
        "authorized_official_telephone_number": "610-832-2001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProgenyHealth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProgenyHealth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth Meeting, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.