NPIMap

Organization Active NPI

Mercy Management of Southeastern Pennsylvania

  • Urology Physician
  • Darby, PA
National Provider Identifier
1710403191
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
Doing business as
Mercy Management of Southeastern Pennsylvania
Practice address
1501 Lansdowne Ave FL Mob1
Darby, PA 19023-1333
Phone
(610) 237-4104
Fax
(610) 237-2553
NPI assigned
Aug 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Amit Powar
Title
President, Medical Group
Phone
(215) 710-6573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

1501 Lansdowne Ave FL Mob1
Darby, PA 19023-1333

Mailing address

41 University Dr Ste 300
Newtown, PA 18940-1873

Other practice location 1

1001 Baltimore Pike Ste 14Ll
Springfield, PA 19064-2800
Phone (610) 237-4104

Other practice location 2

2821 Island Ave Ste 204
Philadelphia, PA 19153-2300
Phone (610) 237-4104

Other names 1

  • Mercy Management of Southeastern Pennsylvania Doing business as

National Provider Directory

National Provider Directory

Locations

1501 Lansdowne Ave
Fl MOB1
Darby, PA 19023
Phone (610) 237-4104

2821 Island Ave
Ste De
Philadelphia, PA 19153
Phone (215) 863-6110

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1710403191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 UNIVERSITY DR STE 300",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LANSDOWNE AVE FL MOB1",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231333",
            "telephone_number": "610-237-4104",
            "fax_number": "610-237-2553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Baltimore Pike Ste 14Ll",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "PA",
            "postal_code": "190642800",
            "country_code": "US",
            "telephone_number": "610-237-4104",
            "fax_number": "610-237-2553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2821 Island Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191532300",
            "country_code": "US",
            "telephone_number": "610-237-4104",
            "fax_number": "610-237-2553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "POWAR",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "PRESIDENT, MEDICAL GROUP",
        "authorized_official_telephone_number": "215-710-6573"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Management of Southeastern Pennsylvania",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.