NPIMap

Organization Active NPI

Elwyn

  • Early Intervention Provider Agency
  • Elwyn, PA
National Provider Identifier
1952575367
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
ELWYN
Practice address
111 Elwyn Rd
Development Center
Elwyn, PA 19063-4622
Phone
(610) 891-2940
NPI assigned
Apr 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Mr. Daniel R Reardon, EXECUTIVE MBA
Title
Vice President of Finance
Phone
(610) 891-2021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

111 Elwyn Rd
Development Center
Elwyn, PA 19063-4622

Mailing address

111 Elwyn Rd
Development Center
Elwyn, PA 19063-4622
Phone (610) 891-2940

Other names 1

  • Elwyn Development Ctr OPT MH Srvcs Other name

National Provider Directory

National Provider Directory
Tax ID family
Elwyn Medical Services61 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1952575367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ELWYN RD",
            "address_2": "DEVELOPMENT CENTER",
            "city": "ELWYN",
            "state": "PA",
            "postal_code": "190634622",
            "telephone_number": "610-891-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ELWYN RD",
            "address_2": "DEVELOPMENT CENTER",
            "city": "ELWYN",
            "state": "PA",
            "postal_code": "190634622",
            "telephone_number": "610-891-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELWYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "REARDON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "610-891-2021",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EXECUTIVE MBA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elwyn Development Ctr OPT MH Srvcs",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elwyn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.