Active NPI
Abington Memorial Hospital
Doing business as Lawndale Internal Medicine
- Internal Medicine Physician
- Huntingdon Valley, PA
National Provider Identifier
1932153038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ABINGTON MEMORIAL HOSPITAL
- Doing business as
- Lawndale Internal Medicine
- Practice address
- 791 Huntingdon Pike # 793
Huntingdon Valley, PA 19006-8362 - Phone
- (215) 780-2000
- Fax
- (215) 780-2007
- NPI assigned
- May 22, 2006
- 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
- John J Kelly
- Title
- Chief of Staff
- Phone
- (215) 481-2600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
791 Huntingdon Pike # 793
Huntingdon Valley, PA 19006-8362
Mailing address
PO Box 826594
Philadelphia, PA 19182-6594
Phone (215) 780-2000
Other names 1
- Lawndale Internal Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040114000619 | PA | Part B Supplier - Clinic/Group Practice | 3274437736 | Practice locations: Rockledge, PA |
National Provider Directory
National Provider DirectoryOwnership & related parties
All facility ownership & control disclosures 6
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Abington Memorial Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jul 1, 1966 Jul 1, 1966 |
| Powerback Rehabilitation | Skilled nursing facility | Adp of the SNF | Nov 1, 2014 |
| Jefferson Health at Home by Bayada | Home health agency | 5% Or Greater Indirect Ownership Interest (46.3%) | Jun 6, 2022 |
| Jefferson Health at Home by Bayada | Home health agency | 5% Or Greater Indirect Ownership Interest (46.3%) | Jun 6, 2022 |
| Jefferson Health at Home by Bayada | Home health agency | 5% Or Greater Indirect Ownership Interest (45%) | Jun 6, 2022 |
| Jefferson Health at Home by Bayada | Hospice | 5% Or Greater Indirect Ownership Interest (45%) | Jun 6, 2022 |
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Elkins Park, PA
- NPI 1518962075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665360000000",
"number": "1932153038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 826594",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191826594",
"telephone_number": "215-780-2000",
"fax_number": "215-780-2007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "791 HUNTINGDON PIKE # 793",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190068362",
"telephone_number": "215-780-2000",
"fax_number": "215-780-2007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABINGTON MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-22",
"last_updated": "2022-10-10",
"certification_date": "2022-10-10",
"status": "A",
"authorized_official_last_name": "KELLY",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CHIEF OF STAFF",
"authorized_official_telephone_number": "215-481-2600"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lawndale Internal Medicine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Lawndale Internal Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huntingdon Valley, PA
- Marietta Abary, CRNA
- Hadia Abdelmoteleb
- Elaine R. Abel, LCSW
- Regina Marie Abernethy, MA, LMFT
- Abington Memorial Hospital (Rockledge Medical Associates)
- Rania Abou Elenein, MD
- Ameymol Abraham, RPH
- Absolute Health System LLC (Absolute Ambulance)
- Absolute Health System, LLC (Absolute Ambulance)
- Absolute Medical Services Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.