NPIMap

Organization Active NPI

Premier Orthopaedic and Sports Medicine Associates, LTD

  • Specialist
  • Exton, PA
National Provider Identifier
1659780872
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD
Practice address
491 John Young Way
Suite 100
Exton, PA 19341-2567
Phone
(610) 280-1586
Fax
(610) 280-1560
NPI assigned
Aug 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Authorized official

Name
Dr. Jeffrey Malumed, M.D.
Title
President
Phone
(610) 359-5640

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X PA Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

491 John Young Way
Suite 100
Exton, PA 19341-2567

Mailing address

491 John Young Way
Suite 100
Exton, PA 19341-2567
Phone (610) 280-1586

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141209001540 PA DME Supplier - Physician - Orthopedic/Orthopedic SurgeryDME Supplier - Physician - PodiatryDME Supplier - Orthotic PersonnelDME Supplier - Independently-Practicing Physical TherapistDME Supplier - Independently-Practicing Occupational Therapist 5890681092 Practice locations: Exton, PA

National Provider Directory

National Provider Directory
Tax ID family
Premier Orthopaedics SP71 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1659780872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 JOHN YOUNG WAY",
            "address_2": "SUITE 100",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412567",
            "telephone_number": "610-280-1586",
            "fax_number": "610-280-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 JOHN YOUNG WAY",
            "address_2": "SUITE 100",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412567",
            "telephone_number": "610-280-1586",
            "fax_number": "610-280-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "MALUMED",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-359-5640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.