Organization Active NPI

Valley Forge Urological Assn., P.C.

  • Urology Physician
  • Phoenixville, PA
National Provider Identifier
1669569562
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
VALLEY FORGE UROLOGICAL ASSN., P.C.
Practice address
824 Main St
Suite 203
Phoenixville, PA 19460-4478
Phone
(610) 933-1133
Fax
(610) 933-4238
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Gus Spector, MDNPI 1114037116
Title
President
Phone
(610) 933-1133

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
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

824 Main St
Suite 203
Phoenixville, PA 19460-4478

Mailing address

824 Main St
Suite 203
Phoenixville, PA 19460-4478
Phone (610) 933-1133

Other identifiers 2

IdentifierTypeStateIssuer
CG7038OtherPAPALMETTO GBA - RR MC
0017773030003MedicaidPA

National Provider Directory

National Provider Directory

Locations

1503 Sunset Dr
Ste 2
Pottstown, PA 19464
Phone (610) 327-0953

Practitioners & affiliated clinicians

Practitioners 3

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1669569562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 MAIN ST",
            "address_2": "SUITE 203",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604478",
            "telephone_number": "610-933-1133",
            "fax_number": "610-933-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 MAIN ST",
            "address_2": "SUITE 203",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604478",
            "telephone_number": "610-933-1133",
            "fax_number": "610-933-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY FORGE UROLOGICAL ASSN., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "SPECTOR",
        "authorized_official_first_name": "GUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-933-1133",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA - RR MC",
            "identifier": "CG7038",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017773030003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.