NPIMap

Organization Active NPI

Buxmont Medical Associates, PC

  • Family Medicine Physician
  • Warrington, PA
National Provider Identifier
1891875456
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BUXMONT MEDICAL ASSOCIATES, PC
Practice address
847 Easton Rd
Suite 2500
Warrington, PA 18976-2907
Phone
(215) 918-5555
Fax
(215) 918-5560
NPI assigned
Oct 17, 2006
Last updated
Mar 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Authorized official

Name
Dr. Jeffrey Mark Mandel, M.D.NPI 1356760649
Title
Practice Administrator
Phone
(215) 918-5555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Non-Pharmacy Dispensing Site 332900000X NU

Addresses

Primary practice location

847 Easton Rd
Suite 2500
Warrington, PA 18976-2907

Mailing address

847 Easton Rd
Suite 2500
Warrington, PA 18976-2907
Phone (215) 918-5555

Other identifiers 3

IdentifierTypeStateIssuer
2151562001OtherPAKEYSTONE HEALTHPLAN GROUP
1462206OtherPAHIGHMARK BLUE SHIELD #
139172OtherPAAETNA GROUP ID NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310000908 PA Part B Supplier - Clinic/Group Practice 8628966561 Receives reassigned benefits from 17 practitioners
Practice locations: Warrington, 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
39D1014489Buxmont Medical Associates847 Easton Road Suite 2500, Warrington, PA 18976Certificate of waiverJul 7, 2027

National Provider Directory

National Provider Directory

Locations

847 Easton Rd
Ste 2500
Warrington, PA 18976
Phone (215) 918-5555

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1891875456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 EASTON RD",
            "address_2": "SUITE 2500",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189762907",
            "telephone_number": "215-918-5555",
            "fax_number": "215-918-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 EASTON RD",
            "address_2": "SUITE 2500",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189762907",
            "telephone_number": "215-918-5555",
            "fax_number": "215-918-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUXMONT MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "MANDEL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "215-918-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTHPLAN GROUP",
            "identifier": "2151562001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD #",
            "identifier": "1462206",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP ID NUMBER",
            "identifier": "139172",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.