NPIMap

Organization Active NPI

Family Medical Associates of Highland Park, LLC

  • Family Medicine Physician
  • Levittown, PA
National Provider Identifier
1962459172
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICAL ASSOCIATES OF HIGHLAND PARK, LLC
Practice address
1310 Frosty Hollow Rd
Levittown, PA 19056-2404
Phone
(215) 949-6622
Fax
(215) 949-8357
NPI assigned
May 31, 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
Mrs. Dawn Marie Gregory
Title
Office Manager
Phone
(215) 949-6622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1310 Frosty Hollow Rd
Levittown, PA 19056-2404

Mailing address

1310 Frosty Hollow Rd
Levittown, PA 19056-2404
Phone (215) 949-6622

National Provider Directory

National Provider Directory

Locations

1310 Frosty Hollow Rd
Levittown, PA 19056
Phone (215) 949-6622

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962459172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 FROSTY HOLLOW RD",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190562404",
            "telephone_number": "215-949-6622",
            "fax_number": "215-949-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 FROSTY HOLLOW RD",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190562404",
            "telephone_number": "215-949-6622",
            "fax_number": "215-949-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL ASSOCIATES OF HIGHLAND PARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-949-6622",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, 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.