Organization Active NPI

Pennsbury Inpatient Services, LLC

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1811332190
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PENNSBURY INPATIENT SERVICES, LLC
Practice address
4900 Frankford Ave
Philadelphia, PA 19124-2618
Phone
(215) 283-2086
Fax
(215) 283-5944
NPI assigned
May 1, 2013
Last updated
May 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Thom Mayer
Title
Owner
Phone
(215) 442-5029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

4900 Frankford Ave
Philadelphia, PA 19124-2618

Mailing address

100 Witmer Rd
Ste 220
Horsham, PA 19044-2291
Phone (215) 442-5029

National Provider Directory

National Provider Directory

Locations

100 Witmer Rd
Ste 220
Horsham, PA 19044
Phone (215) 442-5029

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1811332190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WITMER RD",
            "address_2": "STE 220",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442291",
            "telephone_number": "215-442-5029",
            "fax_number": "215-957-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242618",
            "telephone_number": "215-283-2086",
            "fax_number": "215-283-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSBURY INPATIENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "THOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-442-5029"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.