Active NPI
Justin J Bittner, DO
- Family Medicine Physician
- East Norriton, PA
National Provider Identifier
1871534909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS008722L
- Practice address
- 342 W Germantown Pike
Suite 200
East Norriton, PA 19403-4260 - Phone
- (610) 279-1500
- Fax
- (610) 278-6065
- NPI assigned
- Jun 9, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS008722L | PA | Primary |
Addresses
Primary practice location
342 W Germantown Pike
Suite 200
East Norriton, PA 19403-4260
Mailing address
342 W Germantown Pike
Suite 200
East Norriton, PA 19403-4260
Phone (610) 279-1500
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16523-OS008722L | Other | PA | HEALTH PARTNERS |
| 2646497 | Other | PA | AETNA HMO |
| 5754511 | Other | PA | AETNA PPO |
| 379042 | Other | PA | PHCS |
| 528278 | Other | PA | HIGHMARK BLUE SHIELD |
| 0983190000 | Other | PA | IBC - PC/KHPE |
| 10923215 | Other | PA | CAQH ID# |
| 0016053450008 | Medicaid | PA | |
| 30028991 | Other | PA | KEYSTONE MERCY |
| 0983190000 | Other | PA | AMERIHEALTH/INTERCOUNTY |
| 1859552 | Other | PA | CIGNA HMO/PPO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS008722L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fornance Physician Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Plymouth Meeting, PA
- NPI 1699459388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1871534909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 W GERMANTOWN PIKE",
"address_2": "SUITE 200",
"city": "EAST NORRITON",
"state": "PA",
"postal_code": "194034260",
"telephone_number": "610-279-1500",
"fax_number": "610-278-6065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 W GERMANTOWN PIKE",
"address_2": "SUITE 200",
"city": "EAST NORRITON",
"state": "PA",
"postal_code": "194034260",
"telephone_number": "610-279-1500",
"fax_number": "610-278-6065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BITTNER",
"first_name": "JUSTIN",
"middle_name": "J",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS008722L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "16523-OS008722L",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2646497",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "5754511",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "379042",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "528278",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC - PC/KHPE",
"identifier": "0983190000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH ID#",
"identifier": "10923215",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016053450008",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "30028991",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH/INTERCOUNTY",
"identifier": "0983190000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HMO/PPO",
"identifier": "1859552",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Norriton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.