NPIMap

Organization Active NPI

Penn del Medical Associates Inc

  • Internal Medicine Physician
  • Linwood, PA
National Provider Identifier
1720025109
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD035620E Issued in PA
Legal business name
PENN DEL MEDICAL ASSOCIATES INC
Practice address
1541 Chichester Ave
Linwood, PA 19061-4207
Phone
(610) 485-1176
Fax
(610) 485-6780
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Dr. Dan A Teano, M.D.NPI 1285693416
Title
Owner
Phone
(610) 485-1176

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
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X MD035620E PA Primary

Addresses

Primary practice location

1541 Chichester Ave
Linwood, PA 19061-4207

Mailing address

1541 Chichester Ave
Linwood, PA 19061-4207
Phone (610) 485-1176

Other identifiers 1

IdentifierTypeStateIssuer
0012497870004MedicaidPA

National Provider Directory

National Provider Directory

Locations

1541 Chichester Ave
Linwood, PA 19061
Phone (215) 485-8124

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1720025109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 CHICHESTER AVE",
            "city": "LINWOOD",
            "state": "PA",
            "postal_code": "190614207",
            "telephone_number": "610-485-1176",
            "fax_number": "610-485-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 CHICHESTER AVE",
            "city": "LINWOOD",
            "state": "PA",
            "postal_code": "190614207",
            "telephone_number": "610-485-1176",
            "fax_number": "610-485-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN DEL MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "TEANO",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-485-1176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD035620E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012497870004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.