Individual provider Active NPI

Thomas James Casey, M.D.

  • Pediatric Neurodevelopmental Disabilities Physician
  • Bryn Mawr, PA
National Provider Identifier
1972637585
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X
License
MD01738E Issued in PA
Practice address
937 E Haverford Rd
Bryn Mawr, PA 19010-3800
Phone
(610) 527-0147
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X MD01738E PA Primary

Addresses

Primary practice location

937 E Haverford Rd
Bryn Mawr, PA 19010-3800

Mailing address

374 Bala Ave
Bala Cynwyd, PA 19004-2833
Phone (610) 527-0147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20170301000019 NJ Practitioner - Pediatric MedicinePractitioner - Other (Physician) 5193760031 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD01738EPAMDPediatric Neurodevelopmental Disabilities Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Specialized Hospital CurrentSince Dec 31, 2016 Accepting new patients
Children' Specialized Hospital CurrentSince Dec 31, 2016 Accepting new patients
SCHC Pediatric Associates, LLC Past Accepting new patients

Locations

6106 Black Horse Pike
Egg Harbor Township, NJ 08234
Phone (609) 645-7779

150 New Providence Rd
Mountainside, NJ 07092

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972637585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 BALA AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042833",
            "telephone_number": "610-527-0147",
            "fax_number": "610-520-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 E HAVERFORD RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103800",
            "telephone_number": "610-527-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "PA",
            "license": "MD01738E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.