DR. SAMUEL J MANFREY (NPI# 1669477915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669477915 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL J MANFREY |
| Credential | D.O. |
| Practice Address |
1 Presidential Blvd Ste 100 Bala Cynwyd PA 19004-1017 |
| Practice Telephone | 6106673020 |
| Practice Fax Number | 6106671817 |
| Mailing Telephone | 6106673020 |
| Mailing Fax Number | 6106671817 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2010-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | OS003582L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0008007570007 | 05 |
| Street Address |
1 PRESIDENTIAL BLVD STE 100 |
| City | BALA CYNWYD |
| State | PA |
| Zip Code | 19004-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689679938 | Laurence H Belkoff | Urology | 1 Presidential Blvd, Ste 100, Bala Cynwyd, PA 19004-1017 | 2005-06-14 |
| 1306385364 | Barbara Trunk | Dietitian, Registered | 1 Presidential Blvd, Bala Cynwyd, PA 19004-1017 | 2017-02-22 |
| 1548630502 | Kimberly Mugler | Dietitian, Registered | 1 Presidential Blvd, Suite 203, Bala Cynwyd, PA 19004-1017 | 2015-10-03 |
| 1497158653 | Katina Nguyen | Dentist | 1 Presidential Blvd, Bala Cynwyd, PA 19004-1017 | 2014-10-02 |
| 1477955375 | Urologic Consultants of Southeastern Pennsylvania LLP | Pathology | 1 Presidential Blvd, Ste 100, Bala Cynwyd, PA 19004-1017 | 2014-09-23 |
| 1134551146 | Arthur Fogelson | Dietitian, Registered | 1 Presidential Blvd, Bala Cynwyd, PA 19004-1017 | 2013-07-31 |
| 1215374806 | Your Wellness Consultants LLC | Dietitian, Registered | 1 Presidential Blvd, Suite 203, Bala Cynwyd, PA 19004-1017 | 2013-05-23 |
| 1588923643 | John Rickards | Clinic/Center | 1 Presidential Blvd, Suite 203, Bala Cynwyd, PA 19004-1017 | 2012-05-10 |
| 1609161207 | Urologic Consultants of Southeastern Pennsylvania, LLP | Radiology | 1 Presidential Blvd, Ste 100, Bala Cynwyd, PA 19004-1017 | 2011-06-13 |
| 1568681278 | Robert Tanenbaum | Psychologist | 1 Presidential Blvd, Suite 204, Bala Cynwyd, PA 19004-1017 | 2007-04-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707819 | Katherine Lesher | Psychologist | 2 Bala Plaza Pl-13, Bala Plaza, PA 19004 | 2020-07-16 |
| 1144749342 | Apthcs | In Home Supportive Care | 150 Monument Road Suite 207, Bala Cynwyd, PA 19004 | 2017-09-19 |
| 1508389222 | Miriam Ray | Social Worker | 15 Montgomery Ave Apt 2b, Bala Cynwyd, PA 19004 | 2017-07-25 |
| 1003363235 | Catherine Kazanjian | Nurse Practitioner | 333 E City Ave Ste Il27, Bala Cynwyd, PA 19004 | 2016-09-06 |
| 1295181717 | Ruth Sampson-pilgrim | Nurse Practitioner | 160 Rock Hill Road, Vista Medical Services, Balacynwood, PA 19004 | 2016-05-13 |
| 1902252414 | Nurse Plus Home Care Agency,llc | In Home Supportive Care | Two Bala Plaza, Pmb #516, Suite 300, Bala Cynwyd, PA 19004 | 2016-05-13 |
| 1386010999 | Joan Lyall | Speech-Language Pathologist | 113 Ashland Avenue, Bala Cynwyd, PA 19004 | 2015-08-18 |
| 1922349158 | May W. Lee | Pediatrics | 130 E. Levering Mill Road, Bala Cynwyd, PA 19004 | 2013-03-13 |
| 1023362423 | Justin Carl Lavo | Physical Therapist | 100 Presidental Boulevard, Bala Cynwyd, PA 19004 | 2012-11-07 |
| 1689961765 | Cassio Castro | Dentist | 147 Montgomery Avenue, Bala Cynwyd, PA 19004 | 2011-07-08 |
| Find all providers in zip 19004 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578866679 | Leonard Isaac Silverstein | Urology | 200 Oak Hill Rd, Bala Cynwyd, PA 19004-2915 | 2010-12-10 |
| 1619972965 | Urologic Surgery, PC | Urology | 301 E City Ave, Ste 210, Bala Cynwyd, PA 19004-1734 | 2005-06-14 |
| 1689679938 | Laurence H Belkoff | Urology | 1 Presidential Blvd, Ste 100, Bala Cynwyd, PA 19004-1017 | 2005-06-14 |
| 1467003038 | Bala Asc | Urology | 1 Presidential Blvd Ste 100, Bala Cynwyd, PA 19004-1015 | 2019-09-25 |
| 1851705701 | Vitevity Health Pllc | Urology | 2 Bala Plz, Suite Pl 08, Bala Cynwyd, PA 19004-1501 | 2014-06-19 |
| 1801095369 | Paul R Gittens Jr. | Urology | 2 Bala Plz, Pl-08, Bala Cynwyd, PA 19004-1501 | 2007-07-15 |
| 1144327255 | Michelle L Persun | Urology | 1 Presidential Blvd, Suite 100, Bala Cynwyd, PA 19004-1017 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230468 | St Clair Medical Services, Inc. | Urology | 2000 Oxford Dr Ste 410, Bethel Park, PA 15102-1841 | 2020-09-22 |
| 1326673690 | Glade Run Medical Associates, Inc. | Urology | 500 Medical Arts Bldg Ste 520, Kittanning, PA 16201-7137 | 2020-03-07 |
| 1235779943 | Stacey Oberhauser | Urology | Center for Urologic Care of Berks County, 1320 Broadcasting Road, Suite 200, Wyomissing, PA 19610 | 2020-01-10 |
| 1558859645 | East Freedom Surgical Associates, LLC | Urology | 15721 Dunnings Hwy, Duncansville, PA 16635 | 2018-04-25 |
| 1528560943 | Lancaster Urology PC | Urology | 175 Martin Ave Ste 300, Ephrata, PA 17522-1761 | 2018-03-01 |
| 1841706561 | Urology of Central Pennsylvania, Inc | Urology | 815 Sir Thomas Ct Ste 100, Harrisburg, PA 17109-4839 | 2017-12-18 |
| 1003326869 | St Luke's Physician Group Inc | Urology | 5325 Northgate Dr Ste 203, Bethlehem, PA 18017-9413 | 2017-10-06 |
| 1952829350 | Centers for Advanced Urology, LLC | Urology | 140 W Germantown Pike Ste 250, Plymouth Meeting, PA 19462-1421 | 2017-09-06 |
| 1346767944 | Nazareth Physician Services | Urology | 2701 Holme Ave Ste 101, Phila, PA 19152-2029 | 2017-08-24 |
| 1710403191 | Mercy Management of Sepa | Urology | 501 S 54th St Ste 227, Phila, PA 19143-1900 | 2017-08-17 |
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| City | BALA CYNWYD |
| Zip Code | 19004 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.