Organization Active NPI

Knights Road Medical Associates, PC

  • Internal Medicine Physician
  • Bensalem, PA
National Provider Identifier
1942218136
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD045798L Issued in PA
Legal business name
KNIGHTS ROAD MEDICAL ASSOCIATES, PC
Practice address
2846 Knights Rd
Bensalem, PA 19020-3552
Phone
(215) 638-8500
Fax
(215) 638-0413
NPI assigned
Aug 3, 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
Stevan A Smallow, MD
Title
Owner
Phone
(215) 638-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD045798L PA Primary

Addresses

Primary practice location

2846 Knights Rd
Bensalem, PA 19020-3552

Mailing address

2846 Knights Rd
Bensalem, PA 19020-3552
Phone (215) 638-8500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942218136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2846 KNIGHTS RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190203552",
            "telephone_number": "215-638-8500",
            "fax_number": "215-638-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2846 KNIGHTS RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190203552",
            "telephone_number": "215-638-8500",
            "fax_number": "215-638-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNIGHTS ROAD MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMALLOW",
        "authorized_official_first_name": "STEVAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-638-8500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD045798L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, 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.