Main Line Medical Group LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAIN LINE MEDICAL GROUP LTD

Practice address

857 Montgomery Ave
Narberth, PA 19072-1541

Phone

(610) 664-2951

Fax

(610) 664-2131

NPI assigned

Jul 9, 2006

Last updated

Aug 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Weisberg, D.O.

Title

Secretary/Treasurer

Phone

(610) 664-2951

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shagufta Ahsan, MD

  • Internal Medicine Physician
  • Plymouth Meeting, PA
  • NPI 1003059866
  Medicare reassignment Care Compare group NPD
• Mansoor Choudhry, DO

  • General Practice Physician
  • Penn Valley, PA
  • NPI 1649809641
  Medicare reassignment Care Compare group NPD
• Jerry A Cohen, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Narberth, PA
  • NPI 1629015680
  Medicare reassignment Care Compare group NPD
• Heather Lynn Dowd, D.O.

  • Internal Medicine Physician
  • Penn Valley, PA
  • NPI 1225237480

  Geriatric Medicine

  Medicare reassignment Care Compare group NPD
• Steven Craig Lewis, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Narberth, PA
  • NPI 1427005735
  Medicare reassignment Care Compare group NPD
• Clementina Nkiru Okorji, MSN, AGNP-C

  • Gerontology Nurse Practitioner
  • Penn Valley, PA
  • NPI 1396241568
  Medicare reassignment Care Compare group NPD
• Michael B Rosen, MD

  • Family Medicine Physician
  • Penn Valley, PA
  • NPI 1285691659
  Medicare reassignment Care Compare group NPD
• Zaifang Yu, CRNP

  • Family Nurse Practitioner
  • Philadelphia, PA
  • NPI 1962975425
  Medicare reassignment Care Compare group NPD
• Aribelle D Jones, M.D.

  • Internal Medicine Physician
  • Wyncote, PA
  • NPI 1497832729
  Medicare reassignment Care Compare group
• Alison Alexander, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Narbeth, PA
  • NPI 1215096243
  Medicare reassignment NPD
• Elizabeth A Bradley, M.D.

  • Family Medicine Physician
  • Penn Valley, PA
  • NPI 1023013513
  Medicare reassignment NPD
• Daniel Deprince III, D.O.

  • Family Medicine Physician
  • Lansdale, PA
  • NPI 1023080306
  Medicare reassignment NPD

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1760415913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 MONTGOMERY AVE",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190721541",
            "telephone_number": "610-664-2951",
            "fax_number": "610-664-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 MONTGOMERY AVE",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190721541",
            "telephone_number": "610-664-2951",
            "fax_number": "610-664-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE MEDICAL GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "WEISBERG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "610-664-2951",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huma Mahmood
• Main Line Audiology Consultants PC
• Main Line Center for Skin Surgery, Inc
• Main Line Counseling & Wellness Center, Inc
• Main Line Counseling Center, LLC
• Main Line Mental Health
• Mainline Bodybrain&Spine, P.C.
• Mainline Dental Arts
• Mainline Mental Health, Wellness & Recovery, LLC
• Leigh-Ann Maltz-Dichter, D.M.D.

• Family Medicine Physician in Narberth, PA
• Providers in Narberth, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.