Individual provider Active NPI

Nancy J Pickering, MD

  • Cardiovascular Disease Physician
  • Bala Cynwyd, PA
National Provider Identifier
1801821798
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD024121E Issued in PA
Practice address
7 Bala Ave Ste 203
Bala Cynwyd, PA 19004-3205
Phone
(215) 877-7400
Fax
(215) 877-7479
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD024121E PA
Cardiovascular Disease Physician 207RC0000X MD024121E PA Primary

Addresses

Primary practice location

7 Bala Ave Ste 203
Bala Cynwyd, PA 19004-3205

Mailing address

7 Bala Ave Ste 203
Bala Cynwyd, PA 19004-3205
Phone (215) 877-7400

Other practice location 1

3939 Conshohocken Ave.
Rear of Building
Philadelphia, PA 19131-5400
Phone (215) 877-7400

Other identifiers 1

IdentifierTypeStateIssuer
0008507030007MedicaidPA

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
I20060301000628 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Geriatric Medicine 1052380490 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy J Pickering Cardiovascular Disease PastSince Sep 12, 2010 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 1

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1801821798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BALA AVE STE 203",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043205",
            "telephone_number": "215-877-7400",
            "fax_number": "215-877-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BALA AVE STE 203",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043205",
            "telephone_number": "215-877-7400",
            "fax_number": "215-877-7479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3939 Conshohocken Ave.",
            "address_2": "Rear of Building",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191315400",
            "country_code": "US",
            "telephone_number": "215-877-7400",
            "fax_number": "215-877-7479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICKERING",
        "first_name": "NANCY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD024121E",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD024121E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008507030007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

Verify at the official NPI Registry.