DELAWARE VALLEY I.D. ASSOCIATES, P.C.


Address: 100 E Lancaster Ave, Mob East 556, Wynnewood, PA 19096
Phone: 6108960210

DELAWARE VALLEY I.D. ASSOCIATES, P.C. (NPI# 1982216107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982216107
Entity Type Organization
Organization Name DELAWARE VALLEY I.D. ASSOCIATES, P.C.
Practice Address 100 E Lancaster Ave
Mob East 556
Wynnewood
PA 19096
Mailing Address 901 Mcclintock Dr Ste 202
Burr Ridge
IL 60527-0872
Practice Telephone 6108960210
Mailing Telephone 6306557290
Mailing Fax Number 6306557290
Enumeration Date 2020-08-19
Last Update Date 2020-08-19
Authorized Official Name LAWRENCE L LIVORNESE (MANAGING PARTNER)
Authorized Official Telephone 6108960210
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name DELAWARE VALLEY I.D. ASSOCIATES, P.C.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QI0500X Clinic/Center
Specialization: Infusion Therapy
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
MIC PA Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1871517540 Delaware Valley I.d. Associates, P.C. Internal Medicine 100 E Lancaster Ave, Mob East 556, Wynnewood, PA 19096-3450 2006-07-27

Office Location

Street Address 100 E LANCASTER AVE
MOB EAST 556
City WYNNEWOOD
State PA
Zip Code 19096

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003819079 Robert D. Smink Jr. Surgery 100 E Lancaster Ave, Wynnewood, PA 19096-3450 2005-05-24
1164021713 Clay Johnson Physician Assistant 100 E Lancaster Ave, Wynnewood, PA 19096-3450 2020-10-23
1447858725 Anthony Montello Nurse Anesthetist, Certified Registered 100 E Lancaster Ave, Wynnewood, PA 19096-3450 2020-10-09
1831708551 Farouk Al Chami Student in an Organized Health Care Education/Training Program 100 E Lancaster Ave, Wynnewood, PA 19096-3450 2020-07-28
1225647944 Farah Olleik Internal Medicine 100 E Lancaster Ave, Wynnewood, PA 19096-3450 2020-07-28
1134738859 Talar Telvizian Student in an Organized Health Care Education/Training Program 100 E Lancaster Ave, Wynnewood, PA 19096-3450 2020-07-28
1962011833 Fares Sukhon Student in an Organized Health Care Education/Training Program 100 E Lancaster Ave, Wynnewood, PA 19096-3450 2020-07-27
1700494028 Aviad Lavian Internal Medicine 100 E Lancaster Ave, Wynnewood, PA 19096-3450 2020-07-22
1700404472 Dalia Amrom Internal Medicine 100 E Lancaster Ave, Wynnewood, PA 19096-3450 2020-07-09
1679198188 Joseph Elias Abdul-malak Obstetrics & Gynecology 100 E Lancaster Ave, Wynnewood, PA 19096-3450 2020-06-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831727866 Jeffrey Glenn Johnston Hospitalist Lankenau Medical Center. 100 E Lancaster Ave, Wynnewood, PA 19096 2020-03-27
1326500331 Maitri Pancholy Student in an Organized Health Care Education/Training Program Annenberg Center, G-10, 100 Lancaster Avenue, Wynnewood, PA 19096 2019-04-01
1306355987 Karie Elizabeth Melton Social Worker 250 E Wynnewood Rd E12, Wynnewood, PA 19096 2017-09-26
1518320662 Kaitlyn Kennard Surgery 100 Lancaster Ave Mob South Suite 422, Wynnewood, PA 19096 2016-04-05
1366814675 Linda Elkins Counselor 543 Haverford Rd, Wynnewood, PA 19096 2015-10-26
1619347655 Tessa Kovick Registered Nurse 100 E Lancaster Ave Ste 114, Wynnewood, PA 19096 2015-10-02
1922476415 Amy Lenrow Skilled Nursing Facility 1510 Powder Mill Lane, Wynnewood, PA 19096 2015-09-14
1144602855 Casey Dajao Internal Medicine 100 E Lancaster Ave Ste 140, Wynnewood, PA 19096 2015-06-18
1649666223 Benjamin Larson Internal Medicine 100 E Lancaster Ave Ste B11, Wynnewood, PA 19096 2015-04-10
1760873285 Kathleen Gilmartin Nurse Practitioner 100 East Lancaster Ave, Wynnewood, PA 19096 2015-02-06
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Taxonomy Information

Taxonomy Code 261QI0500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Infusion Therapy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285283044 Jk Marketing, LLC Clinic/Center 6091 Steubenville Pike Ste 7b, Mc Kees Rocks, PA 15136-1336 2019-09-05
1972065043 Axiva Infusion Centers - Ht LLC Clinic/Center 1120 W Township Line Rd Ste 300, Havertown, PA 19083-4929 2019-04-05
1255892535 Jk Marketing, LLC Clinic/Center 280 Indian Springs Rd Ste 131, Indiana, PA 15701-3676 2019-03-28
1528527256 Axiva Infusion Centers - Hv LLC Clinic/Center 2042 County Line Rd, Huntingdon Valley, PA 19006-1739 2019-03-12
1083187520 East Goshen Pharmacy, Inc. Clinic/Center 729 Grove Ave Unit 5, Southampton, PA 18966-6008 2019-01-08
1811419088 Infusion Center of Berks County PC Clinic/Center 2760 Century Blvd Ste 3, Wyomissing, PA 19610-3359 2017-07-10
1184179236 Infusion Express of Pennsylvania Pllc Clinic/Center 70 E Swedesford Rd Ste 130, Malvern, PA 19355-1482 2016-08-18
1679832448 Oasis Infusion Center PC Clinic/Center 1926 Grant Avenue, Philadelphia, PA 19115-4307 2012-05-14
1700181476 Option Care Enterprises, Inc Clinic/Center 540 Seco Rd, Suite A, Monroeville, PA 15146-1460 2011-01-11
1033166244 Chartwell Pennsylvania, Lp Clinic/Center 1001 Oakdale Rd, Oakdale, PA 15071-1502 2006-05-31
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Competitor

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City WYNNEWOOD
Zip Code 19096

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Dataset Information

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.

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