Organization Active NPI

Paul M. Kosmorsky D.O.P.C.

Doing business as Floral Vale Family Medicine

  • Family Medicine Physician
  • Yardley, PA
National Provider Identifier
1699960591
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS007133L Issued in PA
Legal business name
PAUL M. KOSMORSKY D.O.P.C.
Doing business as
Floral Vale Family Medicine
Practice address
303 Floral Vale Blvd
Yardley, PA 19067-5525
Phone
(215) 860-1500
Fax
(215) 860-7933
NPI assigned
Sep 13, 2007
Last updated
Jun 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Authorized official

Name
Dr. Paul M. Kosmorsky, D.O.NPI 1518921691
Title
Owner/Physician
Phone
(215) 860-2548

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
Family Medicine Physician 207Q00000X OS007133L PA Primary

Addresses

Primary practice location

303 Floral Vale Blvd
Yardley, PA 19067-5525

Mailing address

303 Floral Vale Blvd
Yardley, PA 19067-5525
Phone (215) 860-1500

Other names 1

  • Floral Vale Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110524000779 PA Part B Supplier - Clinic/Group Practice 7113103318 Receives reassigned benefits from 2 practitioners
Practice locations: Yardley, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2317039Floral Vale Family Medicine303 Floral Vale Blvd, Morrisville, PA 19067Certificate of waiverJan 15, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1699960591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 FLORAL VALE BLVD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675525",
            "telephone_number": "215-860-1500",
            "fax_number": "215-860-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 FLORAL VALE BLVD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675525",
            "telephone_number": "215-860-1500",
            "fax_number": "215-860-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL M. KOSMORSKY D.O.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "KOSMORSKY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "215-860-2548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS007133L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Floral Vale Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yardley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.