Active NPI
Steven Peitzman, MD
- Nephrology Physician
- Philadelphia, PA
National Provider Identifier
1003859950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD014417E
- Practice address
- 219 N Broad St
5TH Floor
Philadelphia, PA 19107-1519 - Phone
- (215) 762-6144
- Fax
- (215) 762-8366
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD014417E | PA | Primary |
Addresses
Primary practice location
219 N Broad St
5TH Floor
Philadelphia, PA 19107-1519
Mailing address
1601 Cherry St
Suite 11511
Philadelphia, PA 19102-1321
Phone (215) 255-7822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD014417E | PA | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187308800000",
"number": "1003859950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 CHERRY ST",
"address_2": "SUITE 11511",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191021321",
"telephone_number": "215-255-7822",
"fax_number": "215-255-7825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 N BROAD ST",
"address_2": "5TH FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191071519",
"telephone_number": "215-762-6144",
"fax_number": "215-762-8366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEITZMAN",
"first_name": "STEVEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2007-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PA",
"license": "MD014417E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.