Active NPI
Larry Durlofsky, D.O.
- Psychiatry Physician
- Bala Cynwyd, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- OS005803-L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001045703 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ, DE, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OS005803-L | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Che Senior Care Therapy Services PC | Psychiatry | Current | Accepting new patients |
| Knapp Street Psychiatry, PC | Psychiatry | Current | Accepting new patients |
| Che Senior Psychological Services, PC | Psychiatry | Current | Accepting new patients |
| NJ Behavioral Health Services PC | Psychiatry | Current | 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.
-
- Clinical Psychologist
- King of Prussia, PA
- NPI 1144666496
Psychiatry
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.