Active NPI
Greentree Radiology Assoc PC
- Diagnostic Radiology Physician
- Langhorne, PA
National Provider Identifier
1770576183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014539500004 | Medicaid | PA |
Other names 1
- Oxford Valley PET
National Provider Directory
National Provider DirectoryLocations
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.