Organization Active NPI

Lansdale Pediatric and Adolescent Medical Associates, LLC

  • Pediatrics Physician
  • Lansdale, PA
National Provider Identifier
1821068743
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
LANSDALE PEDIATRIC AND ADOLESCENT MEDICAL ASSOCIATES, LLC
Practice address
1240 S Broad St Ste 130
Lansdale, PA 19446-5395
Phone
(215) 361-5040
Fax
(215) 393-5441
NPI assigned
Jan 24, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Edward Galena, MDNPI 1548269640
Title
General Partner
Phone
(215) 361-5040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

1240 S Broad St Ste 130
Lansdale, PA 19446-5395

Mailing address

1240 S Broad St Ste 130
Lansdale, PA 19446-5395
Phone (215) 361-5040

Other practice location 1

1013 S Broad St
Lansdale, PA 19446-5338
Phone (215) 361-5040

Other practice location 2

1013 S Broad St
Lansdale, PA 19446-5338
Phone (215) 361-5040

Other identifiers 2

IdentifierTypeStateIssuer
0019014780001MedicaidPA
001364745OtherPAPA BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1013 S Broad St
Lansdale, PA 19446
Phone (215) 361-5040

Practitioners & affiliated clinicians

Practitioners 4

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": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1821068743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 S BROAD ST STE 130",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465395",
            "telephone_number": "215-361-5040",
            "fax_number": "215-393-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 S BROAD ST STE 130",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465395",
            "telephone_number": "215-361-5040",
            "fax_number": "215-393-5441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1013 S Broad St",
            "address_purpose": "LOCATION",
            "city": "Lansdale",
            "state": "PA",
            "postal_code": "194465338",
            "country_code": "US",
            "telephone_number": "215-361-5040",
            "fax_number": "215-393-5441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1013 S Broad St",
            "address_purpose": "LOCATION",
            "city": "Lansdale",
            "state": "PA",
            "postal_code": "194465338",
            "country_code": "US",
            "telephone_number": "215-361-5040",
            "fax_number": "215-393-5441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LANSDALE PEDIATRIC AND ADOLESCENT MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "GALENA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "215-361-5040",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019014780001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "001364745",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.