NPIMap

Organization Active NPI

True North Medical Group, LLC

  • Pediatrics Physician
  • Willow Grove, PA
National Provider Identifier
1750929907
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
TRUE NORTH MEDICAL GROUP, LLC
Practice address
2510 Maryland Rd Ste 160
Willow Grove, PA 19090-1137
Phone
(215) 672-6622
Fax
(215) 672-6566
NPI assigned
Dec 18, 2019
Organization subpart
Yes
Parent organization
TRUE NORTH MEDICAL GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Authorized official

Name
Jacob Peltzman
Title
Administrator
Phone
(856) 470-4776

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2510 Maryland Rd Ste 160
Willow Grove, PA 19090-1137

Mailing address

PO Box 1673
Voorhees, NJ 08043-7673
Phone (856) 470-4776

Other practice location 1

1010 Horsham Rd Ste 210
North Wales, PA 19454-1500
Phone (215) 853-3434

Other practice location 2

108 Cowpath Rd Ste 1
Lansdale, PA 19446-1152
Phone (215) 855-1599

Other names 2

  • True North Pediatrics Doing business as
  • True North Medical Group, LLC - Primary Care Other name

National Provider Directory

National Provider Directory
Tax ID family
True North Medical Group LLC3 organizations share this tax ID, including this one
Part of
True North Medical Group LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

625 W Ridge Pike
Ste 300
Conshohocken, PA 19428
Phone (610) 825-1994

405 Caredean Dr
Ste J
Horsham, PA 19044
Phone (215) 441-9710

1210 Bethlehem Pike
North Wales, PA 19454
Phone (215) 654-1675

3031 Walton Rd
Ste 101
Plymouth Mtng, PA 19462

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1750929907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1673",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080437673",
            "telephone_number": "856-470-4776",
            "fax_number": "856-624-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 MARYLAND RD STE 160",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901137",
            "telephone_number": "215-672-6622",
            "fax_number": "215-672-6566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Horsham Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "North Wales",
            "state": "PA",
            "postal_code": "194541500",
            "country_code": "US",
            "telephone_number": "215-853-3434",
            "fax_number": "315-672-6566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 Cowpath Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Lansdale",
            "state": "PA",
            "postal_code": "194461152",
            "country_code": "US",
            "telephone_number": "215-855-1599",
            "fax_number": "215-855-1589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRUE NORTH MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRUE NORTH MEDICAL GROUP, LLC",
        "enumeration_date": "2019-12-18",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "PELTZMAN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "856-470-4776"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "True North Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "True North Medical Group, LLC - Primary Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.