Active NPI
Abington Memorial Hospital
Doing business as Horsham Family Practice
- Family Medicine Physician
- Ambler, PA
National Provider Identifier
1871547570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2022
- 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
- Michael B Walsh
- Title
- Senior VP Finance
- Phone
- (215) 481-2850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040113000673 | PA | Part B Supplier - Clinic/Group Practice | 3274437736 | Practice locations: Ambler, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0937464 | Horsham Family Practice | Certificate of waiver | May 10, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Abington Memorial Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jul 1, 1966 Jul 1, 1966 |
| Powerback Rehabilitation | Skilled nursing facility | Adp of the SNF | Nov 1, 2014 |
| Jefferson Health at Home by Bayada | Home health agency | 5% Or Greater Indirect Ownership Interest (46.3%) | Jun 6, 2022 |
| Jefferson Health at Home by Bayada | Home health agency | 5% Or Greater Indirect Ownership Interest (46.3%) | Jun 6, 2022 |
| Jefferson Health at Home by Bayada | Home health agency | 5% Or Greater Indirect Ownership Interest (45%) | Jun 6, 2022 |
| Jefferson Health at Home by Bayada | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.