Provider Type Icon

FOX CHASE PAIN MANAGEMENT ASSOCIATES PC NPI 1881649416


NPI Information

NPI: 1881649416
Provider Name: FOX CHASE PAIN MANAGEMENT ASSOCIATES, PC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 39D2042840

Address:
4979 OLD STREET RD
SUITE B
TREVOSE, PA
ZIP 19053
Phone: (267) 288-5601
Get Directions

FOX CHASE PAIN MANAGEMENT ASSOCIATES, PC is a specialist in Trevose, PA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FOX CHASE PAIN MANAGEMENT ASSOCIATES, PC NPI is 1881649416. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4979 OLD STREET RD
SUITE B
TREVOSE, PA
ZIP 19053-222
Phone: (267) 288-5601
Fax: (267) 288-5905

The provider's authorized official is Steven Mark Rosen .
The authorized official title is President and has the following contact phone number (267) 288-5601.

The CLIA number assigned to this NPI record is 39D2042840 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 2/4/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistMD034707EPENNSYLVANIANo
2174400000XSpecialistMD008053EPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15561325OTHERPENNSYLVANIAUSHC GROUP
2000755415MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIAMEDICARE GPOUP
30698266000OTHERPENNSYLVANIAKEYSTONE GROUP
40698266000OTHERPENNSYLVANIAAMERIHEALTH GROUP
5082769MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEYMEDICARE NJ GROUP
60000755415OTHERPENNSYLVANIABC/BS GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.