American Body Care, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

5243 Issued in PA

Legal business name

AMERICAN BODY CARE, LLC

Practice address

1653 The Fairway
Suite 214
Jenkintown, PA 19046-1420

Phone

(215) 886-3000

Fax

(215) 357-5764

NPI assigned

Apr 14, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Glen A Nathan, DCNPI 1083890545

Title

President

Phone

(215) 886-3000

Specialties & licenses 2

Addresses

Other names 1

• American Body Care, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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

• Glen Albert Nathan, D.C

  • Rehabilitation Chiropractor
  • Jenkintown, PA
  • NPI 1083890545
  Medicare reassignment Authorized official
• Elisabeth Barbara Leimer, M.D.

  • General Practice Physician
  • King of Prussia, PA
  • NPI 1497907018
  NPD (past)

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1720378441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 THE FAIRWAY",
            "address_2": "SUITE 214",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461420",
            "telephone_number": "215-886-3000",
            "fax_number": "215-357-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 THE FAIRWAY",
            "address_2": "SUITE 214",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461420",
            "telephone_number": "215-886-3000",
            "fax_number": "215-357-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN BODY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "NATHAN",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-886-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "PA",
            "license": "2790-L AJ",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "PA",
            "license": "5243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Body Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Jenkintown, PA
• Providers in Jenkintown, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.