Active NPI
Jennifer Deeney Sock, M.D.
- Obstetrics & Gynecology Physician
- Willow Grove, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD435789
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1024897710001 | Medicaid | PA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD435789 | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HR Physician Services | Obstetrics & Gynecology | Current | Accepting new patients |
| HR Physician Services | Current | 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
- 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.
-
dba HR Multispecialty Services
- Obstetrics & Gynecology Physician
- Meadowbrook, PA
- NPI 1881696698
-
dba Redeemer Health Infusion Therapy
- Internal Medicine Physician
- Huntingdon Valley, PA
- NPI 1679450910
-
dba Redeemer Physical Therapy at Richboro
- Rehabilitation Clinic/Center
- Richboro, PA
- NPI 1730650151
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.