Organization Active NPI

MCH Urologic Associates, P.C.

  • Urology Physician
  • Philadelphia, PA
National Provider Identifier
1932271442
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
MCH UROLOGIC ASSOCIATES, P.C.
Practice address
299 S 8TH St
Philadelphia, PA 19106-4010
Phone
(215) 829-3409
Fax
(215) 925-9749
NPI assigned
Nov 14, 2006
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. Terrence R Malloy, M.D.
Title
President
Phone
(215) 829-3409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

299 S 8TH St
Philadelphia, PA 19106-4010

Mailing address

299 S 8TH St
Philadelphia, PA 19106-4010
Phone (215) 829-3409

Other identifiers 2

IdentifierTypeStateIssuer
5900OtherAETNA GROUP
2256686000OtherKEYSTONE

National Provider Directory

National Provider Directory

Locations

299 S 8th St
Philadelphia, PA 19106
Phone (215) 465-7980

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932271442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 S 8TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064010",
            "telephone_number": "215-829-3409",
            "fax_number": "215-925-9749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 S 8TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064010",
            "telephone_number": "215-829-3409",
            "fax_number": "215-925-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCH UROLOGIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALLOY",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-829-3409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP",
            "identifier": "5900",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2256686000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, 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.