Individual provider Active NPI

Jennifer Deeney Sock, M.D.

  • Obstetrics & Gynecology Physician
  • Willow Grove, PA
National Provider Identifier
1962662361
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD435789 Issued in PA
Practice address
735 Fitzwatertown Rd
Suite 4
Willow Grove, PA 19090-1338
Phone
(215) 914-4400
Fax
(215) 657-4887
NPI assigned
Jun 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD435789 PA Primary

Addresses

Primary practice location

735 Fitzwatertown Rd
Suite 4
Willow Grove, PA 19090-1338

Mailing address

735 Fitzwatertown Rd
Suite 4
Willow Grove, PA 19090-1338
Phone (215) 914-4400

Other identifiers 1

IdentifierTypeStateIssuer
1024897710001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101227000714 PA Practitioner - Obstetrics/Gynecology 1052509585 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD435789PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HR Physician Services Obstetrics & Gynecology CurrentSince Aug 21, 2010 Accepting new patients
HR Physician Services CurrentSince Aug 21, 2010 Accepting new patients
HR Physician Services Past Accepting new patients

Locations

3300 Tillman Dr
Bensalem, PA 19020
Phone (215) 244-7400

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

1650 Huntingdon Pike
Ste 118
Meadowbrook, PA 19046
Phone (215) 914-2600

1648 Huntingdon Pike
Ofc First
Meadowbrook, PA 19046
Phone (215) 938-3450

735 Fitzwatertown Rd
Ste 4
Willow Grove, PA 19090
Phone (215) 914-4400

Interoperability endpoints

  • Direct secure messaging: jennifer.sock.1@17399.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1962662361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 FITZWATERTOWN RD",
            "address_2": "SUITE 4",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901338",
            "telephone_number": "215-914-4400",
            "fax_number": "215-657-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 FITZWATERTOWN RD",
            "address_2": "SUITE 4",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901338",
            "telephone_number": "215-914-4400",
            "fax_number": "215-657-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOCK",
        "first_name": "JENNIFER",
        "middle_name": "DEENEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD435789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024897710001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

Verify at the official NPI Registry.