NPIMap

Organization Active NPI

County of Montgomery Urology

  • Urology Physician
  • Royersford, PA
National Provider Identifier
1609034867
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD063803L Issued in PA
Legal business name
COUNTY OF MONTGOMERY UROLOGY
Practice address
1600 Black Rock Rd
Royersford, PA 19468-3147
Phone
(610) 792-2224
NPI assigned
May 23, 2008
Organization subpart
Yes
Parent organization
PARKHOUSE PROVIDENCE POINTEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Authorized official

Name
Melanie Deblase, DON
Title
Administrator
Phone
(610) 792-2224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X MD063803L PA Primary

Addresses

Primary practice location

1600 Black Rock Rd
Royersford, PA 19468-3147

Mailing address

1600 Black Rock Rd
Royersford, PA 19468-3147
Phone (610) 792-2224

Other identifiers 3

IdentifierTypeStateIssuer
098438OtherPAPROVIDER
340017735OtherPARAILROAD #
MD063803LOtherPALICENSE

National Provider Directory

National Provider Directory
Tax ID family
Montgomery County Treas Court House10 organizations share this tax ID, including this one
Part of
Montgomery County Treas Court House

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1609034867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 BLACK ROCK RD",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194683147",
            "telephone_number": "610-792-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 BLACK ROCK RD",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194683147",
            "telephone_number": "610-792-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MONTGOMERY UROLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARKHOUSE PROVIDENCE POINTE",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "DEBLASE",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "610-792-2224",
        "authorized_official_credential": "DON"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "PA",
            "license": "MD063803L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER",
            "identifier": "098438",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD #",
            "identifier": "340017735",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MD063803L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royersford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.