Organization Active NPI

Abington Memorial Hospital

Doing business as Horsham Family Practice

  • Family Medicine Physician
  • Ambler, PA
National Provider Identifier
1871547570
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ABINGTON MEMORIAL HOSPITAL
Doing business as
Horsham Family Practice
Practice address
1116 Horsham Rd
Suite 10
Ambler, PA 19002-1143
Phone
(215) 643-8500
Fax
(215) 643-6999
NPI assigned
May 19, 2006
Last updated
Oct 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Authorized official

Name
Michael B Walsh
Title
Senior VP Finance
Phone
(215) 481-2850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1116 Horsham Rd
Suite 10
Ambler, PA 19002-1143

Mailing address

PO Box 826594 Suite 10
Philadelphia, PA 19182-6594
Phone (215) 643-8500

Other names 1

  • Horsham Family Practice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040113000673 PA Part B Supplier - Clinic/Group Practice 3274437736 Practice locations: Ambler, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0937464Horsham Family Practice1116 Horsham Rd, Ste 10, Ambler, PA 19002Certificate of waiverMay 10, 2028

National Provider Directory

National Provider Directory

Locations

1116 Horsham Rd
Ste 10
Maple Glen, PA 19002
Phone (215) 443-5586

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Abington Memorial HospitalAbington, PA, CCN 39S231 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jul 1, 1966
Jul 1, 1966
Powerback RehabilitationAmbler, PA, CCN 395922 Skilled nursing facility Adp of the SNF Nov 1, 2014
Jefferson Health at Home by BayadaVoorhees, NJ, CCN 317073 Home health agency 5% Or Greater Indirect Ownership Interest (46.3%) Jun 6, 2022
Jefferson Health at Home by BayadaPhiladelphia, PA, CCN 397643 Home health agency 5% Or Greater Indirect Ownership Interest (46.3%) Jun 6, 2022
Jefferson Health at Home by BayadaHorsham, PA, CCN 397145 Home health agency 5% Or Greater Indirect Ownership Interest (45%) Jun 6, 2022
Jefferson Health at Home by BayadaHorsham, PA, CCN 391524B Hospice 5% Or Greater Indirect Ownership Interest (45%) Jun 6, 2022

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1871547570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 826594 SUITE 10",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191826594",
            "telephone_number": "215-643-8500",
            "fax_number": "215-643-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 HORSHAM RD",
            "address_2": "SUITE 10",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190021143",
            "telephone_number": "215-643-8500",
            "fax_number": "215-643-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABINGTON MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SENIOR VP FINANCE",
        "authorized_official_telephone_number": "215-481-2850"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horsham Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Horsham Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ambler, PA

Sources for this page

Verify at the official NPI Registry.