Active NPI
James L. Tweedy Jr., D.O.
- Adult Medicine Physician
- Philadelphia, PA
National Provider Identifier
1689634065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- OS008911L
- Practice address
- 724 W Porter St
Philadelphia, PA 19148-3841 - Phone
- (215) 334-6762
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | OS008911L | PA | Primary |
Addresses
Primary practice location
724 W Porter St
Philadelphia, PA 19148-3841
Mailing address
724 W Porter St
Philadelphia, PA 19148-3841
Phone (215) 334-6762
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01648115 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Philadelphia College of Osteopathic Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
401 Horsham Rd
Horsham, PA 19044-2013
Phone (484) 766-1496
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS008911L | PA | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Continuing Care Medical Associates PLLC | Current | Accepting new patients | |
| Bridges Palliative Care LLC | Current | Accepting new patients | |
| Continuing Care Medical Associates PLLC | Current | Accepting new patients | |
| Steingard and Testa Medical Associates PC | Adult Medicine | Past | Accepting new patients |
Locations
401 Horsham Rd
Horsham, PA 19044
Phone (215) 422-3646
251 Stenton Ave
Plymouth Mtng, PA 19462
Phone (215) 987-3663
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Horsham, PA
- NPI 1598180382
-
- Urgent Care Clinic/Center
- Horsham, PA
- NPI 1538532171
-
- Urgent Care Clinic/Center
- Huntingdon Valley, PA
- NPI 1427700822
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1114973690
Adult Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279843200000",
"number": "1689634065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 W PORTER ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191483841",
"telephone_number": "215-334-6762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 W PORTER ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191483841",
"telephone_number": "215-334-6762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TWEEDY",
"first_name": "JAMES",
"middle_name": "L.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2010-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "PA",
"license": "OS008911L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01648115",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.