Organization Active NPI

Front Street Family Medicine, P.C.

  • Family Medicine Physician
  • Media, PA
National Provider Identifier
1730445198
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS008967L Issued in PA
Legal business name
FRONT STREET FAMILY MEDICINE, P.C.
Doing business as
Front Street Family Medicine
Practice address
112 W Front St
Media, PA 19063-3232
Phone
(610) 566-1881
Fax
(610) 566-4776
NPI assigned
Apr 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Dr. Richard M Dimonte Jr., D.O.
Title
President
Phone
(610) 566-1881

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X OS008967L PA Primary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X OS008967L PA

Addresses

Primary practice location

112 W Front St
Media, PA 19063-3232

Mailing address

112 W Front St
Media, PA 19063-3232
Phone (610) 566-1881

Other names 1

  • Front Street Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

112 W Front St
Media, PA 19063
Phone (610) 556-1881

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1730445198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W FRONT ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633232",
            "telephone_number": "610-566-1881",
            "fax_number": "610-566-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W FRONT ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633232",
            "telephone_number": "610-566-1881",
            "fax_number": "610-566-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT STREET FAMILY MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "DIMONTE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-566-1881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS008967L",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "PA",
            "license": "OS008967L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Front Street Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.