Elwyn Health Services of Pennsylvania PC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

ELWYN HEALTH SERVICES OF PENNSYLVANIA PC

Practice address

111 Elwyn Rd
Elwyn, PA 19063-4622

Phone

(610) 891-2000

NPI assigned

Nov 21, 2016

Organization subpart

Yes

Parent organization

ELWYNAs reported in NPPES

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

Authorized official

Name

Mr. Daniel Reardon, MBA

Title

Sr. VP and Coo

Phone

(610) 891-2021

Specialties & licenses 3

Addresses

Part of

Elwyn Medical Services

Locations

Practitioners 1

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

• Ellen Delea, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Elwyn, PA
  • NPI 1467431635
  NPD (past)

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1730622994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ELWYN RD",
            "city": "ELWYN",
            "state": "PA",
            "postal_code": "190634622",
            "telephone_number": "610-891-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ELWYN RD",
            "city": "ELWYN",
            "state": "PA",
            "postal_code": "190634622",
            "telephone_number": "610-891-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELWYN HEALTH SERVICES OF PENNSYLVANIA PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELWYN",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "REARDON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "SR. VP AND COO",
        "authorized_official_telephone_number": "610-891-2021",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elwyn
• Elwyn
• Elwyn
• Elwyn
• Elwyn
• Elwyn of Pennsylvania and Delaware
• Elwyn of Pennsylvania and Delaware
• Elwyn of Pennsylvania and Delaware
• Elwyn of Pennsylvania and Delaware
• Elwyn of Pennsylvania and Delaware

• All providers in Elwyn, PA
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.