Individual provider Active NPI

Peter Swanljung, MD

  • Neurology Physician
  • Willow Grove, PA
National Provider Identifier
1770620478
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD424943 Issued in PA
Practice address
240 Fitzwatertown Rd
Willow Grove, PA 19090-2332
Phone
(610) 647-0330
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD424943 PA Primary

Addresses

Primary practice location

240 Fitzwatertown Rd
Willow Grove, PA 19090-2332

Mailing address

907 Frazier Rd
Rydal, PA 19046-2407
Phone (215) 688-1372

Other practice location 1

15497 W Sand St
Victorville, CA 92392-2910
Phone (442) 327-9311

Other practice location 2

907 Frazier Rd
Rydal, PA 19046-2407
Phone (215) 798-4797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070509000554 PA Practitioner - PsychiatryPractitioner - Addiction Medicine 8729184684 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD424943PAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Malvern Constitution LLC CurrentSince Jan 20, 2026 Accepting new patients
Delaware County Professional Services, Inc PastSince Aug 6, 2023 Accepting new patients
The Progressions Companies, Inc. Past Accepting new patients

Locations

1930 S Broad St
Unit 17
Philadelphia, PA 19145
Phone (610) 480-8919

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1770620478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 FRAZIER RD",
            "city": "RYDAL",
            "state": "PA",
            "postal_code": "190462407",
            "telephone_number": "215-688-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 FITZWATERTOWN RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902332",
            "telephone_number": "610-647-0330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15497 W Sand St",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923922910",
            "country_code": "US",
            "telephone_number": "442-327-9311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "907 Frazier Rd",
            "address_purpose": "LOCATION",
            "city": "Rydal",
            "state": "PA",
            "postal_code": "190462407",
            "country_code": "US",
            "telephone_number": "215-798-4797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANLJUNG",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD424943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

Verify at the official NPI Registry.