Active NPI
Joseph Spina, Jr.,,M.D.Associates
- Ophthalmology Physician
- Broomall, PA
National Provider Identifier
1912110768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 029838L
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0421286000 | Other | PA | KEYSTONE |
| 0050462 | Other | PA | AETNA |
National Provider Directory
National Provider DirectoryLocations
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.