Langhorne Surgical Group, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD049795L Issued in PA

Legal business name

LANGHORNE SURGICAL GROUP, PC

Practice address

1205 Langhorne Newtown Rd
Suite 304
Langhorne, PA 19047-1219

Phone

(215) 752-5552

Fax

(215) 752-9295

NPI assigned

Oct 20, 2006

Last updated

Feb 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Neil Brotman, MD

Title

President

Phone

(215) 752-5552

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1780766477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 LANGHORNE NEWTOWN RD",
            "address_2": "SUITE 304",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471219",
            "telephone_number": "215-752-5552",
            "fax_number": "215-752-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 LANGHORNE NEWTOWN RD",
            "address_2": "SUITE 304",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471219",
            "telephone_number": "215-752-5552",
            "fax_number": "215-752-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANGHORNE SURGICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "BROTMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-752-5552",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD049795L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00047365",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eileen Eagan Larr, LPC
• Natallia Lastovka, RD, CDCES, LDN

• Surgery Physician in Langhorne, PA
• Providers in Langhorne, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.