Organization Active NPI

Denis a. Boyle Jr MD

  • Physical Medicine & Rehabilitation Physician
  • Upper Darby, PA
National Provider Identifier
1811164957
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
039006L Issued in PA
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

Updated by the provider on Apr 28, 2016

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 039006L PA Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
DN5595OtherPAMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.