Organization Active NPI

Core Pediatric Cardiology, PC

  • Pediatric Cardiology Physician
  • Elkins Park, PA
National Provider Identifier
1861512055
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
MD066670L Issued in PA
Legal business name
CORE PEDIATRIC CARDIOLOGY, PC
Practice address
205 Yorktown PLZ
8120 Old York Road
Elkins Park, PA 19027-1424
Phone
(610) 616-4138
NPI assigned
Mar 30, 2007
Last updated
Sep 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Zev Jacobson, MDNPI 1013939842
Title
Owner
Phone
(610) 616-4138

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
Pediatric Cardiology Physician 2080P0202X MD066670L PA Primary

Addresses

Primary practice location

205 Yorktown PLZ
8120 Old York Road
Elkins Park, PA 19027-1424

Mailing address

205 Yorktown PLZ
8120 Old York Road
Elkins Park, PA 19027-1424
Phone (610) 616-4138

National Provider Directory

National Provider Directory

Locations

8120 Old York Rd
Elkins Park, PA 19027
Phone (215) 887-7380

8120 Old York Rd
Ste 205
Elkins Park, PA 19027

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1861512055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 YORKTOWN PLZ",
            "address_2": "8120 OLD YORK ROAD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271424",
            "telephone_number": "610-616-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 YORKTOWN PLZ",
            "address_2": "8120 OLD YORK ROAD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271424",
            "telephone_number": "610-616-4138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE PEDIATRIC CARDIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "ZEV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-616-4138",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "PA",
            "license": "MD066670L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.