OrganizationActive
East Norriton Physicians Services
NPI 1104013085 · Sports Medicine (Family Medicine) Physician · East Norriton, PA
Provider details
- NPI number
- 1104013085
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Peter Kenniff, Cfo(610) 631-2159
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
716 W Germantown Pike
East Norriton, PA 19403-4255
Phone: (610) 631-2159
Fax: (610) 631-7645
Street-level locationGet directions
Mailing address
1 W Elm St
Conshohocken, PA 19428-4108
Other names (DBA / former)
- Doing business as
- Mercy Sports Medicine
Registry dates
- Enumerated
- 2007-09-25
- Last updated
- 2008-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.