NPIMap

Organization Active NPI

Aria Health Physician Services

Doing business as Aria Queen Anne Medical

  • Internal Medicine Physician
  • Fairless Hills, PA
National Provider Identifier
1760868582
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ARIA HEALTH PHYSICIAN SERVICES
Doing business as
Aria Queen Anne Medical
Queen Anne Medical Center
Practice address
605 S Queen Anne Dr
Fairless Hills, PA 19030-3811
Phone
(215) 949-2550
Fax
(215) 949-1012
NPI assigned
Aug 4, 2015
Last updated
Oct 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Authorized official

Name
Ronald Kumor
Title
Senior Vice President
Phone
(215) 612-4858

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA
Internal Medicine Physician 207R00000X PA Primary
General Practice Physician 208D00000X PA

Addresses

Primary practice location

605 S Queen Anne Dr
Fairless Hills, PA 19030-3811

Mailing address

PO Box 825395
Philadelphia, PA 19182-5395
Phone (215) 949-2550

Other identifiers 1

IdentifierTypeStateIssuer
1007526250039MedicaidPA

Other names 2

  • ARIA QUEEN ANNE MEDICAL Doing business as
  • Queen Anne Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040224000045 PA Part B Supplier - Clinic/Group Practice 3577467018 Receives reassigned benefits from 665 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
Aria Heal Phy SVS56 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1760868582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 825395",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191825395",
            "telephone_number": "215-949-2550",
            "fax_number": "215-949-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S QUEEN ANNE DR",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190303811",
            "telephone_number": "215-949-2550",
            "fax_number": "215-949-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIA HEALTH PHYSICIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "KUMOR",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "215-612-4858"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007526250039",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARIA QUEEN ANNE MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Queen Anne Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairless Hills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.