Organization Active NPI

East Norriton Physicians Services

Doing business as Enps-CRNP

  • Community Health Registered Nurse
  • Eagleville, PA
National Provider Identifier
1912918061
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
TP005643C Issued in PA
Legal business name
EAST NORRITON PHYSICIANS SERVICES
Doing business as
Enps-CRNP
Practice address
3301 Ridge Pike
Eagleville, PA 19403-1411
Phone
(610) 539-9100
Fax
(610) 539-6570
NPI assigned
Aug 11, 2006
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Peter B Kenniff
Title
Chief Financial Officer
Phone
(610) 567-6967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X TP005643C PA Primary

Addresses

Primary practice location

3301 Ridge Pike
Eagleville, PA 19403-1411

Mailing address

1 W Elm St
Suite 100
Conshohocken, PA 19428-2007
Phone (610) 567-6967

Other identifiers 1

IdentifierTypeStateIssuer
001728686OtherPABS NUMBER

Other names 1

  • ENPS-CRNP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
East Norriton Pathology5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1912918061",
    "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": "610-567-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 RIDGE PIKE",
            "city": "EAGLEVILLE",
            "state": "PA",
            "postal_code": "194031411",
            "telephone_number": "610-539-9100",
            "fax_number": "610-539-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST NORRITON PHYSICIANS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "KENNIFF",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "610-567-6967"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "PA",
            "license": "TP005643C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS NUMBER",
            "identifier": "001728686",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENPS-CRNP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagleville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.

Verify at the official NPI Registry.