Organization Active NPI

Elena Adamov, MD, PC

  • Primary Care Clinic/Center
  • Feasterville Trevose, PA
National Provider Identifier
1841646221
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD430639 Issued in PA
Legal business name
ELENA ADAMOV, MD, PC
Practice address
2 Park LN
Suite 101
Feasterville Trevose, PA 19053-6004
Phone
(215) 552-0077
Fax
(215) 953-9943
NPI assigned
May 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Authorized official

Name
Elena Adamov
Title
Owner
Phone
(215) 834-0616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD430639 PA Primary

Addresses

Primary practice location

2 Park LN
Suite 101
Feasterville Trevose, PA 19053-6004

Mailing address

2 Park LN
Suite 101
Feasterville Trevose, PA 19053-6004
Phone (215) 552-0077

National Provider Directory

National Provider Directory

Locations

520 Bustleton Pike
Ste 1
Feasterville Trevose, PA 19053
Phone (215) 310-0199

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1841646221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PARK LN",
            "address_2": "SUITE 101",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536004",
            "telephone_number": "215-552-0077",
            "fax_number": "215-953-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PARK LN",
            "address_2": "SUITE 101",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536004",
            "telephone_number": "215-552-0077",
            "fax_number": "215-953-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELENA ADAMOV, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "ADAMOV",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-834-0616"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "MD430639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Feasterville Trevose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.