NPIMap

Organization Active NPI

Enps Mercy Primary Care at Plymouth Meeting

  • Family Medicine Physician
  • Plymouth Meeting, PA
National Provider Identifier
1669723722
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ENPS MERCY PRIMARY CARE AT PLYMOUTH MEETING
Practice address
500 W Germantown Pike
Suite 1020
Plymouth Meeting, PA 19462-1353
Phone
(610) 941-4208
Fax
(610) 941-4158
NPI assigned
Sep 28, 2012
Organization subpart
Yes
Parent organization
EAST NORRITON PHYSICIAN SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Authorized official

Name
Ana Muniz
Title
Credentialing Specialist
Phone
(610) 567-5265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

500 W Germantown Pike
Suite 1020
Plymouth Meeting, PA 19462-1353

Mailing address

1 W Elm St
Suite 100
Conshohocken, PA 19428-4108
Phone (610) 567-5265

Other names 1

  • Mercy Primary Care at Plymouth Meeting Doing business as

National Provider Directory

National Provider Directory
Part of
East Norriton Phys Services

Locations

790 Penllyn Pike
Ste 101
Blue Bell, PA 19422
Phone (267) 419-8160

50 Second Ave
Collegeville, PA 19426
Phone (610) 489-2721

3055 Ridge Pike
Eagleville, PA 19403
Phone (610) 292-6520

3055 Ridge Pike
Ste 200
Eagleville, PA 19403
Phone (610) 539-9100

3055 Ridge Pike
Ste 100
Eagleville, PA 19403

2701 DeKalb Pike
Ste A
East Norriton, PA 19401
Phone (610) 275-1028

2705 DeKalb Pike
Ste 309
Norristown, PA 19401
Phone (610) 275-0200

1437 DeKalb St
Ste 101
Norristown, PA 19401
Phone (610) 279-6621

2705 DeKalb Pike
Ste 303
Norristown, PA 19401
Phone (610) 277-6131

Practitioners & affiliated clinicians

Practitioners 5

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": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348790400000",
    "number": "1669723722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W ELM ST",
            "address_2": "SUITE 100",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194284108",
            "telephone_number": "610-567-5265",
            "fax_number": "610-567-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W GERMANTOWN PIKE",
            "address_2": "SUITE 1020",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621353",
            "telephone_number": "610-941-4208",
            "fax_number": "610-941-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENPS MERCY PRIMARY CARE AT PLYMOUTH MEETING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST NORRITON PHYSICIAN SERVICES",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-09-28",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "610-567-5265"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Primary Care at Plymouth Meeting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth Meeting, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.