Organization Active NPI

Endocrinology Specialists of Bucks LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Langhorne, PA
National Provider Identifier
1962859926
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD430791 Issued in PA
Legal business name
ENDOCRINOLOGY SPECIALISTS OF BUCKS LLC
Practice address
174 Middletown Blvd Ste 304
Langhorne, PA 19047
Phone
(215) 757-2359
Fax
(866) 308-0731
NPI assigned
May 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Authorized official

Name
Shailja Kaul, MDNPI 1780841270
Title
Physician
Phone
(215) 757-2359

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X MD430791 PA Primary

Addresses

Primary practice location

174 Middletown Blvd Ste 304
Langhorne, PA 19047

Mailing address

1381 Heather Ridge Dr
Newtown, PA 18940-3728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160721000269 PA Part B Supplier - Clinic/Group Practice 9931492444 Receives reassigned benefits from 4 practitioners
Practice locations: Langhorne, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2158460Endocrinology Specialists of Bucks174 Middletown Blvd, Suite 304, Langhorne, PA 19047Certificate of waiverNov 28, 2026

National Provider Directory

National Provider Directory

Locations

174 Middletown Blvd
Ste 304
Langhorne, PA 19047
Phone (215) 208-7751

174 Middletown Blvd
Langhorne, PA 19047

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBFGAD

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1962859926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 HEATHER RIDGE DR",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 MIDDLETOWN BLVD STE 304",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "19047",
            "telephone_number": "215-757-2359",
            "fax_number": "866-308-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINOLOGY SPECIALISTS OF BUCKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "KAUL",
        "authorized_official_first_name": "SHAILJA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "215-757-2359",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD430791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.