Abington Memorial Hospital
Organization Active NPI Cardiovascular Disease Physician · Abington, PA
NPI 1790701837 · NPPES record last updated Oct 12, 2022
Key facts
- NPI
- 1790701837
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- MD270501 (PA)
- Legal business name
- ABINGTON MEMORIAL HOSPITAL
- Practice address
- 1200 Old York Rd
Abington, PA 19001-3720 - Phone
- (215) 481-2000
- NPI assigned
- Jul 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Michael Walsh
- Title
- Vice-President/Cfo
- Phone
- (215) 481-2850
Corporate family (same tax ID) 24
Practitioners 24
-
Theresa Bownes, NP
-
Adam M Cohen, MD
-
Matthew Manning Collins, D.O.
-
Andrew S Fireman, M.D.
-
Richard A Goldstein, M.D.
-
Eddy Mizrahi, MD
-
Manoj R Muttreja, M.D.
-
Evan E Neft, M.D.
-
Joseph L Neri, D.O.
-
Frederick Pereira, CRNP
-
William G Petrucci, M.D.
-
Varun Saxena, MD
-
Scott Eric Shapiro, M.D.
-
Rhiannon Whyte, NP
-
Seamus Thomas Winters, PA-C
-
Dina R Yazmajian, M.D.
-
Emanuel Kostacos, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Abington Memorial Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jul 1, 1966 Jul 1, 1966 |
| Powerback Rehabilitation |
Skilled nursing facility | Adp of the SNF | Nov 1, 2014 |
| Jefferson Health at Home by Bayada |
Home health agency | 5% Or Greater Indirect Ownership Interest (46.3%) | Jun 6, 2022 |
| Jefferson Health at Home by Bayada |
Home health agency | 5% Or Greater Indirect Ownership Interest (46.3%) | Jun 6, 2022 |
| Jefferson Health at Home by Bayada |
Home health agency | 5% Or Greater Indirect Ownership Interest (45%) | Jun 6, 2022 |
| Jefferson Health at Home by Bayada |
Hospice | 5% Or Greater Indirect Ownership Interest (45%) | Jun 6, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050225000025 | PA | Part B Supplier - Clinic/Group Practice | 3274437736 |
Receives reassigned benefits from 24 practitioners Practice locations: Lansdale, PA; Abington, PA; Horsham, PA |
National Provider Directory
- Tax ID family
- Abington Adult Medical
Locations
1235 Old York Rd
Ste 123
Abington, PA 19001
Phone (215) 517-1150
1200 Old York Rd
Ste 201
Abington, PA 19001
Phone (215) 481-6839
1010 Horsham Rd
Ste 214
North Wales, PA 19454
Phone (215) 517-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | MD270501 | PA | Yes |
Addresses
Primary practice location
1200 Old York Rd
Abington, PA 19001-3720
Mailing address
PO Box 826594
Philadelphia, PA 19182-6594
Other names
- Abington Cardiac Services
Other providers in Abington, PA
- Abington Memorial Hospital
- Abington Memorial Hospital
- Abington Memorial Hospital
- Abington Memorial Hospital
- Abington Memorial Hospital
- Abington Memorial Hospital
- Abington Memorial Hospital
- Abington Memorial Hospital
- Abington Memorial Hospital
- Abington Memorial Hospital
All providers in Abington, PA · Cardiovascular Disease Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.