Organization Active NPI

Delaware Valley Brain and Spine Care,LLC

  • Neurological Surgery Physician
  • Newtown, PA
National Provider Identifier
1699053504
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
DELAWARE VALLEY BRAIN AND SPINE CARE,LLC
Practice address
104 Pheasant Run Ste 105
Newtown, PA 18940-3439
Phone
(215) 741-3141
Fax
(215) 741-3143
NPI assigned
Jul 26, 2011
Last updated
Jun 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
PRINCETON BRAIN & SPINE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Dr. Mark McLaughlinNPI 1053382366
Title
Owner
Phone
(215) 741-3141

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
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

104 Pheasant Run Ste 105
Newtown, PA 18940-3439

Mailing address

104 Pheasant Run Ste 105
Newtown, PA 18940-3439
Phone (215) 741-3141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120103000220 NJ Part B Supplier - Clinic/Group Practice 6608042262 Receives reassigned benefits from 15 practitioners
Practice locations: Flemington, NJ; Freehold, NJ; Lawrenceville, NJ; Marlton, NJ; Mullica Hill, NJ; Oakhurst, NJ; Princeton, NJ; Somerset, NJ
O20120103000323 PA Part B Supplier - Clinic/Group Practice 6608042262 Receives reassigned benefits from 12 practitioners
Practice locations: Newtown, PA; Bethlehem, PA

National Provider Directory

National Provider Directory
Part of
Princeton Brain Spine LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

190 State Route 31
Ste 300B
Flemington, NJ 08822
Phone (215) 478-6126

558 Lawrence Square Blvd S
Lawrenceville, NJ 08648
Phone (609) 585-6100

701 W Union Blvd
Unit 9
Bethlehem, PA 18018

1203 Langhorne Newtown Rd
Ste 138
Langhorne, PA 19047
Phone (215) 710-8644

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1699053504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PHEASANT RUN STE 105",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403439",
            "telephone_number": "215-741-3141",
            "fax_number": "215-741-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PHEASANT RUN STE 105",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403439",
            "telephone_number": "215-741-3141",
            "fax_number": "215-741-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE VALLEY BRAIN AND SPINE CARE,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRINCETON BRAIN & SPINE, LLC",
        "enumeration_date": "2011-07-26",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-741-3141",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.