Active NPI
Medtronic Monitoring, Inc
- Clinic/Center
- Bala Cynwyd, PA
National Provider Identifier
1699914150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MEDTRONIC MONITORING, INC
- Practice address
- 111 Presidential Blvd
102
Bala Cynwyd, PA 19004-1008 - Phone
- (610) 257-6300
- NPI assigned
- Feb 6, 2009
- Last updated
- Feb 10, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nina Goodheart
- Title
- Vice President and General Manager
- Phone
- (763) 526-2518
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary | |
| Physiological Laboratory | 293D00000X | NU |
Addresses
Primary practice location
111 Presidential Blvd
102
Bala Cynwyd, PA 19004-1008
Mailing address
PO Box 74008550
Chicago, IL 60674-8550
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486684800000",
"number": "1699914150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 74008550",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606748550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 PRESIDENTIAL BLVD",
"address_2": "102",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041008",
"telephone_number": "610-257-6300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDTRONIC MONITORING, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-06",
"last_updated": "2017-02-10",
"status": "A",
"authorized_official_last_name": "GOODHEART",
"authorized_official_first_name": "NINA",
"authorized_official_title_or_position": "VICE PRESIDENT AND GENERAL MANAGER",
"authorized_official_telephone_number": "763-526-2518",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.