Individual provider Active NPI

Anil Nerurkar, M.D.

  • Gynecology Physician
  • Langhorne, PA
National Provider Identifier
1750534343
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD037711-L Issued in PA
Practice address
1203 Langhorne Newtown Rd
#225, St Clare BLDG
Langhorne, PA 19047-1209
Phone
(215) 750-7771
Fax
(215) 750-6935
NPI assigned
Oct 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X MD037711-L PA Primary

Addresses

Primary practice location

1203 Langhorne Newtown Rd
#225, St Clare BLDG
Langhorne, PA 19047-1209

Mailing address

1203 Langhorne-Newtown Rd
#225, St Clare BLDG
Langhorne, PA 19047
Phone (215) 750-7771

Other identifiers 1

IdentifierTypeStateIssuer
0008147700002MedicaidPA

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

State licenses

LicenseStateTypeSpecialty
MD037711-LPAMDGynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1750534343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 LANGHORNE-NEWTOWN RD",
            "address_2": "#225, ST CLARE BLDG",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "19047",
            "telephone_number": "215-750-7771",
            "fax_number": "215-750-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 LANGHORNE NEWTOWN RD",
            "address_2": "#225, ST CLARE BLDG",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471209",
            "telephone_number": "215-750-7771",
            "fax_number": "215-750-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERURKAR",
        "first_name": "ANIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": "MD037711-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008147700002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.