Active NPI
Edward Buonocore, MD
- Cardiovascular Disease Physician
- Norristown, PA
National Provider Identifier
1740272160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD022206E
- Practice address
- 1330 Powell St
Ste 301
Norristown, PA 19401-3353 - Phone
- (610) 279-1370
- Fax
- (610) 279-1372
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD022206E | PA | Primary |
Addresses
Primary practice location
1330 Powell St
Ste 301
Norristown, PA 19401-3353
Mailing address
207 N Broad St FL 3
Phila, PA 19107-1500
Phone (610) 279-1370
Other practice location 1
100 Market St Ste 400
Collegeville, PA 19426-4927
Phone (610) 831-0300
Other practice location 2
609 West Germantown Pike STE 120
Medical Arts Building
East Norriton, PA 19403
Phone (610) 279-1370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008072480006 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1740272160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 N BROAD ST FL 3",
"city": "PHILA",
"state": "PA",
"postal_code": "191071500",
"telephone_number": "610-279-1370",
"fax_number": "610-279-1372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 POWELL ST",
"address_2": "STE 301",
"city": "NORRISTOWN",
"state": "PA",
"postal_code": "194013353",
"telephone_number": "610-279-1370",
"fax_number": "610-279-1372"
}
],
"practiceLocations": [
{
"address_1": "100 Market St Ste 400",
"address_purpose": "LOCATION",
"city": "Collegeville",
"state": "PA",
"postal_code": "194264927",
"country_code": "US",
"telephone_number": "610-831-0300",
"fax_number": "610-831-1334",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "609 West Germantown Pike STE 120",
"address_2": "Medical Arts Building",
"address_purpose": "LOCATION",
"city": "East Norriton",
"state": "PA",
"postal_code": "19403",
"country_code": "US",
"telephone_number": "610-279-1370",
"fax_number": "610-279-1372",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUONOCORE",
"first_name": "EDWARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD022206E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008072480006",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norristown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.