Organization Active NPI

Greentree Radiology Assoc PC

  • Diagnostic Radiology Physician
  • Langhorne, PA
National Provider Identifier
1770576183
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
GREENTREE RADIOLOGY ASSOC PC
Doing business as
Oxford Valley PET
Practice address
940 Town Center Dr
Langhorne, PA 19047-1772
Phone
(888) 440-6494
Fax
(330) 769-1501
NPI assigned
Aug 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
David L Bloom, MD
Title
President
Phone
(973) 707-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X PA Primary

Addresses

Primary practice location

940 Town Center Dr
Langhorne, PA 19047-1772

Mailing address

1455 Broad St
4TH Floor
Bloomfield, NJ 07003-3003
Phone (973) 707-1100

Other identifiers 1

IdentifierTypeStateIssuer
0014539500004MedicaidPA

Other names 1

  • Oxford Valley PET Doing business as

National Provider Directory

National Provider Directory

Locations

940 Town Center Dr
Langhorne, PA 19047

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1770576183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 BROAD ST",
            "address_2": "4TH FLOOR",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033003",
            "telephone_number": "973-707-1100",
            "fax_number": "973-707-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 TOWN CENTER DR",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471772",
            "telephone_number": "888-440-6494",
            "fax_number": "330-769-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENTREE RADIOLOGY ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-707-1100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014539500004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oxford Valley PET",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; 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.