Active NPI
Merakey Woodhaven
- Clinic/Center
- Lafayette Hill, PA
National Provider Identifier
1861408692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 300519545
- Legal business name
- MERAKEY WOODHAVEN
- Practice address
- 620 Germantown Pike
Lafayette Hill, PA 19444-1810 - Phone
- (610) 260-4600
- Fax
- (610) 260-4618
- NPI assigned
- Aug 1, 2006
- 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
- Mr. Norman E Tilson Jr.
- Title
- Corp Sr. Director of Business Ops
- Phone
- (215) 836-3131
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 116090 | PA | |
| Clinic/Center | 261Q00000X | 300519545 | PA | Primary |
| Clinic/Center | 261Q00000X | 597200LSCUID9720 | PA |
Addresses
Primary practice location
620 Germantown Pike
Lafayette Hill, PA 19444-1810
Mailing address
620 Germantown Pike
Lafayette Hill, PA 19444-1810
Phone (610) 260-4600
Other names 1
- NHS Woodhaven
National Provider Directory
National Provider Directory- Tax ID family
- Merakey Woodhaven
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Philadelphia, PA
- NPI 1073717591
-
- Community/Behavioral Health Agency
- Lafayette Hill, PA
- NPI 1215441530
-
- Intellectual Disabilities Intermediate Care Facility
- Philadelphia, PA
- NPI 1790908853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707264000000",
"number": "1861408692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 GERMANTOWN PIKE",
"city": "LAFAYETTE HILL",
"state": "PA",
"postal_code": "194441810",
"telephone_number": "610-260-4600",
"fax_number": "610-260-4618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 GERMANTOWN PIKE",
"city": "LAFAYETTE HILL",
"state": "PA",
"postal_code": "194441810",
"telephone_number": "610-260-4600",
"fax_number": "610-260-4618"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERAKEY WOODHAVEN",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-01",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A",
"authorized_official_last_name": "TILSON",
"authorized_official_first_name": "NORMAN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CORP SR. DIRECTOR OF BUSINESS OPS",
"authorized_official_telephone_number": "215-836-3131",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "PA",
"license": "116090",
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "PA",
"license": "300519545",
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "PA",
"license": "597200LSCUID9720",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NHS Woodhaven",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "NHS Woodhaven",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Lafayette Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.