New Life Cardiovascular Care, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NEW LIFE CARDIOVASCULAR CARE, P.C.

Practice address

805 E Willow Grove Ave Ste 1C
Glenside, PA 19038-7968

Phone

(215) 870-4144

Fax

(215) 793-4488

NPI assigned

Dec 6, 2006

Organization subpart

Yes

Parent organization

NEW LIFE CARDIOVASCULAR CAREAs reported in NPPES

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

Authorized official

Name

Dr. Michael M Milbourne, M.D.

Title

President

Phone

(215) 870-4144

Specialties & licenses 5

Addresses

Other identifiers 8

Other names 1

• New Life Cardiovascular and Primary Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Part of

New Life Cardiovascular Care PC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael W Milbourne, MD

  • Cardiovascular Disease Physician
  • Glenside, PA
  • NPI 1255399366

  Internal Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1699834705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 HIGHGATE DR",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190021559",
            "telephone_number": "215-870-4144",
            "fax_number": "215-793-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E WILLOW GROVE AVE STE 1C",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190387968",
            "telephone_number": "215-870-4144",
            "fax_number": "215-793-4488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "722 Church Ln",
            "address_purpose": "LOCATION",
            "city": "Yeadon",
            "state": "PA",
            "postal_code": "190503503",
            "country_code": "US",
            "telephone_number": "610-622-9953",
            "fax_number": "610-284-6540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Bala Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Bala Cynwyd",
            "state": "PA",
            "postal_code": "190043214",
            "country_code": "US",
            "telephone_number": "215-878-7100",
            "fax_number": "610-284-6540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW LIFE CARDIOVASCULAR CARE, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW LIFE CARDIOVASCULAR CARE",
        "enumeration_date": "2006-12-06",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "MILBOURNE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-870-4144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PA",
            "license": "MD050825L",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30036888",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAVO",
            "identifier": "4206",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2793777000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7176947",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST (IBC)",
            "identifier": "2793777000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "2793777000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSPA",
            "identifier": "001924524",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7185016",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Life Cardiovascular and Primary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon Muir, CMT
• Kristina Marie Mulholland
• Nation Home Healthcare Services LLC
• Nephrology Clinical Solutions Pennsylvania, LLC
• New Life Cardiovascular Care, P.C.
• Gary Newell, D.D.S.
• John Le Nguyen
• Ngoc Bao Sanh Nguyen, PHARMD
• Cathy Lyn Nobil-Dutton, LCSW
• Suzanne O'Brien, CRNP

• Internal Medicine Physician in Glenside, PA
• Providers in Glenside, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.