Organization Active NPI

Joseph Spina, Jr.,,M.D.Associates

  • Ophthalmology Physician
  • Broomall, PA
National Provider Identifier
1912110768
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
029838L Issued in PA
Legal business name
JOSEPH SPINA, JR.,,M.D.ASSOCIATES
Practice address
1999 Sproul Rd Ste 25
Delaware County Medical Center
Broomall, PA 19008-3508
Phone
(610) 353-6550
Fax
(610) 353-5210
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph Spina Jr., MD
Title
President
Phone
(610) 353-6550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 029838L PA Primary

Addresses

Primary practice location

1999 Sproul Rd Ste 25
Delaware County Medical Center
Broomall, PA 19008-3508

Mailing address

1999 Sproul Rd Ste 25
Delaware County Medical Center
Broomall, PA 19008-3508
Phone (610) 353-6550

Other identifiers 2

IdentifierTypeStateIssuer
0421286000OtherPAKEYSTONE
0050462OtherPAAETNA

National Provider Directory

National Provider Directory

Locations

1999 Sproul Rd
Ste 25
Broomall, PA 19008
Phone (610) 353-6400

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912110768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 SPROUL RD STE 25",
            "address_2": "DELAWARE COUNTY MEDICAL CENTER",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083508",
            "telephone_number": "610-353-6550",
            "fax_number": "610-353-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 SPROUL RD STE 25",
            "address_2": "DELAWARE COUNTY MEDICAL CENTER",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083508",
            "telephone_number": "610-353-6550",
            "fax_number": "610-353-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH SPINA, JR.,,M.D.ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPINA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-353-6550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "029838L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0421286000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0050462",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.