Active NPI
Denis a. Boyle Jr MD
- Physical Medicine & Rehabilitation Physician
- Upper Darby, PA
National Provider Identifier
1811164957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 039006L
- Legal business name
- DENIS A. BOYLE JR MD
- Practice address
- 111 Long LN
Upper Darby, PA 19082-3112 - Phone
- (610) 352-7816
- Fax
- (610) 352-1423
- NPI assigned
- May 8, 2008
- 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
- Dr. Denis A Boyle Jr., MD
- Title
- Medical Doctor
- Phone
- (610) 352-7816
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 039006L | PA | Primary |
| General Practice Physician | 208D00000X | 039066L | PA |
Addresses
Primary practice location
111 Long LN
Upper Darby, PA 19082-3112
Mailing address
111 Long LN
Upper Darby, PA 19082-3112
Phone (610) 352-7816
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN5595 | Other | PA | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
111 Long Ln
Upper Darby, PA 19082
Phone (610) 352-5454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461801600000",
"number": "1811164957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 LONG LN",
"city": "UPPER DARBY",
"state": "PA",
"postal_code": "190823112",
"telephone_number": "610-352-7816",
"fax_number": "610-352-1423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 LONG LN",
"city": "UPPER DARBY",
"state": "PA",
"postal_code": "190823112",
"telephone_number": "610-352-7816",
"fax_number": "610-352-1423"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENIS A. BOYLE JR MD",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-08",
"last_updated": "2016-04-28",
"status": "A",
"authorized_official_last_name": "BOYLE",
"authorized_official_first_name": "DENIS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "610-352-7816",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "039006L",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "PA",
"license": "039066L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "DN5595",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Upper Darby, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.