Active NPI
East Norriton Physicians Services
- Internal Medicine Physician
- Norristown, PA
National Provider Identifier
1902808306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- EAST NORRITON PHYSICIANS SERVICES
- Practice address
- 2705 Dekalb Pike
Suite 309
Norristown, PA 19401-1852 - Phone
- (610) 275-0200
- Fax
- (610) 275-4436
- NPI assigned
- Aug 15, 2005
- 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
- Mr. Peter B Kenniff
- Title
- Cfo
- Phone
- (610) 567-6967
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2705 Dekalb Pike
Suite 309
Norristown, PA 19401-1852
Mailing address
1 W Elm St
Suite 100
Conshohocken, PA 19428-2007
Phone (610) 567-6967
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2228688000 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 1544454 | Other | PA | HIGHMARK BLUE SHIELD |
| 30007454 | Other | PA | KEYSTONE MERCY |
| 2228688001 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 6294024001 | Other | PA | CIGNA |
| 3248775 | Other | PA | AUSHC HMO |
| 1007594660058 | Medicaid | PA |
Other names 1
- Mercy Internal Medicine Associates
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205193600000",
"number": "1902808306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 W ELM ST",
"address_2": "SUITE 100",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282007",
"telephone_number": "610-567-6967",
"fax_number": "610-567-6955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2705 DEKALB PIKE",
"address_2": "SUITE 309",
"city": "NORRISTOWN",
"state": "PA",
"postal_code": "194011852",
"telephone_number": "610-275-0200",
"fax_number": "610-275-4436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST NORRITON PHYSICIANS SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-15",
"last_updated": "2008-03-11",
"status": "A",
"authorized_official_last_name": "KENNIFF",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "610-567-6967",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN EAST",
"identifier": "2228688000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1544454",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "30007454",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN EAST",
"identifier": "2228688001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6294024001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AUSHC HMO",
"identifier": "3248775",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007594660058",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mercy Internal Medicine Associates",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Norristown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.