Richard D Kagen MD LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

MD025223E Issued in PA

Legal business name

RICHARD D KAGEN MD LLC

Practice address

1607 Benjamin Dr
Ambler, PA 19002-2405

Phone

(610) 734-2708

Fax

(215) 654-0664

NPI assigned

Apr 1, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Richard D Kagen, MD

Title

Internist

Phone

(610) 734-2708

Specialties & licenses 4

Addresses

Other identifiers 1

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1962745661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 BENJAMIN DR",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190022405",
            "telephone_number": "610-734-2708",
            "fax_number": "215-654-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 BENJAMIN DR",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190022405",
            "telephone_number": "610-734-2708",
            "fax_number": "215-654-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD D KAGEN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-01",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "KAGEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "INTERNIST",
        "authorized_official_telephone_number": "610-734-2708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "MD025223E",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "PA",
            "license": "MD025223E",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "MD025223E",
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "PA",
            "license": "MD025223E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009240570001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Ambler, PA
• Providers in Ambler, PA by specialty
• Assisted Living Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.