Active NPI
Northeast Family Health Care, LLC
- Methadone Clinic
- Quakertown, PA
National Provider Identifier
1609153675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- Legal business name
- NORTHEAST FAMILY HEALTH CARE, LLC
- Practice address
- 1040 S West End Blvd
Quakertown, PA 18951-2634 - Phone
- (610) 438-1278
- Fax
- (610) 252-0432
- NPI assigned
- Nov 4, 2011
- Last updated
- Dec 23, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robyn Tanis
- Title
- Executive Director of Contract MGMT
- Phone
- (856) 533-8762
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | Primary |
Addresses
Primary practice location
1040 S West End Blvd
Quakertown, PA 18951-2634
Mailing address
1317 Route 73 Ste 200
Mount Laurel, NJ 08054-2202
Phone (856) 439-6111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200513001088 | PA | Part B Supplier - Opioid Treatment Program (Otp) | 2062843741 |
1 other NPI on this enrollment Practice locations: Lansdowne, PA; Quakertown, PA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Lansdowne Treatment Services
- Methadone Clinic
- Lansdowne, PA
- NPI 1487382040
O20200513001088
National Provider Directory
National Provider Directory- Tax ID family
- Lansdowne Treatment Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Lansdowne Treatment Services
- Methadone Clinic
- Lansdowne, PA
- NPI 1487382040
Locations
1040 S West End Blvd
Quakertown, PA 18951
Phone (215) 529-6511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1577059200000",
"number": "1609153675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 ROUTE 73 STE 200",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080542202",
"telephone_number": "856-439-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 S WEST END BLVD",
"city": "QUAKERTOWN",
"state": "PA",
"postal_code": "189512634",
"telephone_number": "610-438-1278",
"fax_number": "610-252-0432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST FAMILY HEALTH CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-04",
"last_updated": "2019-12-23",
"certification_date": "2019-12-23",
"status": "A",
"authorized_official_last_name": "TANIS",
"authorized_official_first_name": "ROBYN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF CONTRACT MGMT",
"authorized_official_telephone_number": "856-533-8762"
},
"taxonomies": [
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quakertown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.