Iron Mountain Orthopaedic Institute

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

IRON MOUNTAIN ORTHOPAEDIC INSTITUTE

Practice address

2138 County Line Rd
Huntingdon Valley, PA 19006-1740

Phone

(215) 821-7059

NPI assigned

Apr 18, 2025

Organization subpart

No

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

Authorized official

Name

Mark Ayzenberg, MDNPI 1144563818

Title

Ceo

Phone

(215) 821-7059

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 2

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

• Mark Ayzenberg, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Huntingdon Valley, PA
  • NPI 1144563818
  Medicare reassignment Care Compare group NPD Authorized official
• Jamie Hermance, PA-C

  • Physician Assistant
  • Huntingdon Valley, PA
  • NPI 1033073945
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1942096409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 COUNTY LINE RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 COUNTY LINE RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061740",
            "telephone_number": "215-821-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRON MOUNTAIN ORTHOPAEDIC INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "AYZENBERG",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-821-7059",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alessandra Kathleen Intili, MD
• Ilya Iofik, EMT
• Mario Ismaili, PHARMD
• John Martin Ivers, MSW
• Stephen Jackson, CRS, CPS
• Regina Mary Jacobs
• Barbara Jacobson, LCSW

• Sports Medicine (Orthopaedic Surgery) Physician in Huntingdon Valley, PA
• Providers in Huntingdon Valley, PA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.