Active NPI
Neurology and Sleep Medicine, P.C
- Neurology Physician
- Fountain Hill, PA
National Provider Identifier
1881656379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- 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, 2012
- 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
- Dr. Jeffrey D Gould, MD
- Title
- President
- Phone
- (610) 866-6614
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02349000 | Other | PA | BLUE CROSS |
| DC0716 | Other | PA | RR MEDICARE |
| 7230301 | Other | PA | AETNA |
| 1615283 | Other | PA | BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
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.