Individual provider Active NPI

Larry Durlofsky, D.O.

  • Psychiatry Physician
  • Bala Cynwyd, PA
National Provider Identifier
1720169188
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS005803-L Issued in PA
Practice address
160 Rock Hill Rd FL 1
Bala Cynwyd, PA 19004-2133
Phone
(610) 667-5460
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS005803-L PA Primary

Addresses

Primary practice location

160 Rock Hill Rd FL 1
Bala Cynwyd, PA 19004-2133

Mailing address

160 Rock Hill Rd FL 1
Bala Cynwyd, PA 19004-2133
Phone (302) 598-7667

Other identifiers 1

IdentifierTypeStateIssuer
0001045703MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, DE, NY4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20101124000409 PA Practitioner - Geriatric Psychiatry 8527088731 Reassigns benefits to 2 organizations
I20101201000353 NJ Practitioner - Geriatric Psychiatry 8527088731 Reassigns benefits to 2 organizations
I20110509000156 DE Practitioner - Geriatric Psychiatry 8527088731 Reassigns benefits to 1 organization
I20191231001128 NY Practitioner - Psychiatry 8527088731 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Psychiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vista Medical Services IncGroup PAC ID 5597743344, 31 clinicians

Practice addresses (Care Compare)

1001 Wallace St
Tucker Nursing Home
Philadelphia, PA 19123-2599
Phone (215) 235-1600

449 S Pennsville-Auburn Rd
Southgate Health Care Center
Carneys Point, NJ 08069-2691
Phone (610) 667-6080

700 Foulk Rd
Wilmington, DE 19803-3708
Phone (610) 667-6080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS005803-LPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Che Senior Care Therapy Services PC Psychiatry CurrentSince Sep 1, 2019 Accepting new patients
Knapp Street Psychiatry, PC Psychiatry CurrentSince Oct 21, 2020 Accepting new patients
Che Senior Psychological Services, PC Psychiatry CurrentSince Sep 24, 2020 Accepting new patients
NJ Behavioral Health Services PC Psychiatry CurrentSince Sep 23, 2021 Accepting new patients

Locations

140 E Ridgewood Ave
Ste 415
Paramus, NJ 07652
Phone (201) 720-1900

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

630 Freedom Business Ctr Dr
Fl 3
King of Prussia, PA 19406
Phone (484) 686-1008

928 Jaymor Rd
Ste C120
Southampton, PA 18966
Phone (215) 344-8187

208 Fernbrook Ave
Wyncote, PA 19095
Phone (610) 668-8553

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1720169188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ROCK HILL RD FL 1",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042133",
            "telephone_number": "302-598-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ROCK HILL RD FL 1",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042133",
            "telephone_number": "610-667-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURLOFSKY",
        "first_name": "LARRY",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS005803-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001045703",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

Verify at the official NPI Registry.