Organization Active NPI

Neurology and Sleep Medicine, P.C

  • Neurology Physician
  • Fountain Hill, PA
National Provider Identifier
1881656379
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGY AND SLEEP MEDICINE, P.C
Practice address
510 Delaware Ave
Fountain Hill, PA 18015-1155
Phone
(610) 866-6614
Fax
(610) 866-8836
NPI assigned
Apr 3, 2006
Last updated
Jul 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Authorized official

Name
Dr. Jeffrey D Gould, MD
Title
President
Phone
(610) 866-6614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

510 Delaware Ave
Fountain Hill, PA 18015-1155

Mailing address

510 Delaware Ave
Fountain Hill, PA 18015-1280
Phone (610) 866-6614

Other identifiers 4

IdentifierTypeStateIssuer
02349000OtherPABLUE CROSS
DC0716OtherPARR MEDICARE
7230301OtherPAAETNA
1615283OtherPABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

701 Ostrum St
Ste 302
Fountain Hill, PA 18015
Phone (484) 526-6000

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1881656379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 DELAWARE AVE",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151280",
            "telephone_number": "610-866-6614",
            "fax_number": "610-866-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 DELAWARE AVE",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151155",
            "telephone_number": "610-866-6614",
            "fax_number": "610-866-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY AND SLEEP MEDICINE, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-866-6614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "02349000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DC0716",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7230301",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1615283",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.