Active NPI
Main Line Audiology Consultants
- PACE Provider Organization
- Penn Valley, PA
National Provider Identifier
1831583624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- Legal business name
- MAIN LINE AUDIOLOGY CONSULTANTS
- Practice address
- 916 Montgomery Ave
Penn Valley, PA 19072-1913 - Phone
- (610) 667-3277
- NPI assigned
- Mar 19, 2015
- 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
- Lisa Gilpin
- Title
- Billing Supervisor
- Phone
- (610) 667-3277
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| PACE Provider Organization | 251T00000X | Primary |
Addresses
Primary practice location
916 Montgomery Ave
Penn Valley, PA 19072-1913
Mailing address
916 Montgomery Ave
Penn Valley, PA 19072-1913
National Provider Directory
National Provider Directory- Tax ID family
- Main Line Audiology Consultants
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Penn Valley, PA
- NPI 1518351261
Locations
916 Montgomery Ave
Penn Valley, PA 19072
Phone (610) 667-3277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426723200000",
"number": "1831583624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 MONTGOMERY AVE",
"city": "PENN VALLEY",
"state": "PA",
"postal_code": "190721913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 MONTGOMERY AVE",
"city": "PENN VALLEY",
"state": "PA",
"postal_code": "190721913",
"telephone_number": "610-667-3277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAIN LINE AUDIOLOGY CONSULTANTS",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-19",
"last_updated": "2015-03-19",
"status": "A",
"authorized_official_last_name": "GILPIN",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "BILLING SUPERVISOR",
"authorized_official_telephone_number": "610-667-3277"
},
"taxonomies": [
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Penn Valley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.