Individual provider Active NPI

Matthew Brandon McCarthy, M.D.

  • Pediatrics Physician
  • Drexel Hill, PA
National Provider Identifier
1740424977
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD446168 Issued in PA
Practice address
5030 State Rd
Suite #2-900
Drexel Hill, PA 19026-4653
Phone
(610) 623-9080
Fax
(610) 623-3861
NPI assigned
May 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD446168 PA Primary

Addresses

Primary practice location

5030 State Rd
Suite #2-900
Drexel Hill, PA 19026-4653

Mailing address

5030 State Rd
Suite #2-900
Drexel Hill, PA 19026-4653
Phone (610) 623-9080

Other identifiers 1

IdentifierTypeStateIssuer
1029720300001MedicaidPA

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD446168PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Drexel Hill Pediatric Associates PastSince Oct 24, 2021 Accepting new patients
Riddle Memorial Hospital Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1740424977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 STATE RD",
            "address_2": "SUITE #2-900",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190264653",
            "telephone_number": "610-623-9080",
            "fax_number": "610-623-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 STATE RD",
            "address_2": "SUITE #2-900",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190264653",
            "telephone_number": "610-623-9080",
            "fax_number": "610-623-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "MATTHEW",
        "middle_name": "BRANDON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-01",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD446168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029720300001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Drexel Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.