1336159136 NPI number — KANTOR CURLEY PEDAITRIC ASSOCIATES, PC

Table of content: (NPI 1336159136)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336159136 NPI number — KANTOR CURLEY PEDAITRIC ASSOCIATES, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KANTOR CURLEY PEDAITRIC ASSOCIATES, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336159136
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1251 RED RAMBLER RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RYDAL
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19046-2916
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-517-7877
Provider Business Mailing Address Fax Number:
215-672-7042

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
205 NEWTOWN RD
Provider Second Line Business Practice Location Address:
SUITE 210
Provider Business Practice Location Address City Name:
WARMINSTER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18974-5275
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-672-7272
Provider Business Practice Location Address Fax Number:
215-672-7042
Provider Enumeration Date:
08/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KANTOR
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
G
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
215-379-3026

Provider Taxonomy Codes

  • Taxonomy code: 2080A0000X , with the licence number:  OS003487L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0008441070004 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com