NPIMap

Organization Active NPI

Abington Memorial Hospital

  • Hospitalist Physician
  • Abington, PA
National Provider Identifier
1770508319
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
ABINGTON MEMORIAL HOSPITAL
Practice address
1200 Old York Rd
Department of Medicine
Abington, PA 19001-3720
Phone
(215) 481-2222
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Rachel Renae Dantis
Title
Enterprise Provider Enrollment
Phone
(609) 238-7660

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

1200 Old York Rd
Department of Medicine
Abington, PA 19001-3720

Mailing address

PO Box 826594
Philadelphia, PA 19182-6594
Phone (215) 481-2222

Other names 1

  • Department of Medicine Hospitalists Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051017000570 PA Part B Supplier - Hospital Department(S) 3274437736 Receives reassigned benefits from 196 practitioners
Practice locations: Abington, PA; Lansdale, PA

National Provider Directory

National Provider Directory

Locations

1200 Old York Rd
Ste 28
Abington, PA 19001

1200 Old York Rd
Ste B
Abington, PA 19001

1235 Old York Rd
Ste 214
Abington, PA 19001
Phone (215) 481-4811

1200 Old York Rd
#1
Abington, PA 19001
Phone (215) 481-2400

1200 Old York Rd
#1W
Abington, PA 19001
Phone (215) 481-2400

500 York Rd
Ste 203
Jenkintown, PA 19046
Phone (215) 886-0174

2510 Maryland Rd
Ste 230
Willow Grove, PA 19090

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Abington Memorial HospitalAbington, PA, CCN 39S231 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 1966
Jul 1, 1966
Powerback RehabilitationAmbler, PA, CCN 395922 Skilled nursing facility Adp of the SNF Nov 1, 2014
Jefferson Health at Home by BayadaVoorhees, NJ, CCN 317073 Home health agency 5% Or Greater Indirect Ownership Interest (46.3%) Jun 6, 2022
Jefferson Health at Home by BayadaPhiladelphia, PA, CCN 397643 Home health agency 5% Or Greater Indirect Ownership Interest (46.3%) Jun 6, 2022
Jefferson Health at Home by BayadaHorsham, PA, CCN 397145 Home health agency 5% Or Greater Indirect Ownership Interest (45%) Jun 6, 2022
Jefferson Health at Home by BayadaHorsham, PA, CCN 391524B Hospice 5% Or Greater Indirect Ownership Interest (45%) Jun 6, 2022

Practitioners & affiliated clinicians

Practitioners 201

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

View all 201

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1770508319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 826594",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191826594",
            "telephone_number": "215-481-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OLD YORK RD",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013720",
            "telephone_number": "215-481-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABINGTON MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "DANTIS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "ENTERPRISE PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "609-238-7660"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Department of Medicine Hospitalists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Department of Medicine Hospitalists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.