Dr. Magner and Associates

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

DN002133 Issued in PA

Legal business name

DR. MAGNER AND ASSOCIATES

Practice address

20 S 69TH St
6TH Floor
Upper Darby, PA 19082-2528

Phone

(610) 430-9043

Fax

(610) 399-0459

NPI assigned

Dec 18, 2011

Last updated

Dec 23, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Frederick J. Magner, R.D.

Title

Ceo

Phone

(610) 430-9043

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1324166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1609145887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 567",
            "city": "WESTTOWN",
            "state": "PA",
            "postal_code": "193950567",
            "telephone_number": "610-430-9043",
            "fax_number": "610-399-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S 69TH ST",
            "address_2": "6TH FLOOR",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822528",
            "telephone_number": "610-430-9043",
            "fax_number": "610-399-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MAGNER AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-18",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "MAGNER",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-430-9043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "PA",
            "license": "DN002133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024603250001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.