Organization Active NPI

Josephine Depalma

  • Foot Surgery Podiatrist
  • Philadelphia, PA
National Provider Identifier
1013191824
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
SC002712L Issued in PA
Legal business name
JOSEPHINE DEPALMA
Practice address
2706 N 5TH St
Philadelphia, PA 19133-2701
Phone
(215) 425-5060
Fax
(215) 483-9679
NPI assigned
Dec 28, 2007
Organization subpart
Yes
Parent organization
JOSEPHINE DEPALMAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Josephine Depalma, DPMNPI 1710988258
Title
Dr
Phone
(215) 425-5060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X SC002712L PA
Primary Podiatric Medicine PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213EP1101X SC002712L PA
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X SC002712L PA
Foot Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0131X SC002712L PA Primary

Addresses

Primary practice location

2706 N 5TH St
Philadelphia, PA 19133-2701

Mailing address

2706 N 5TH St
Philadelphia, PA 19133-2701
Phone (215) 425-5060

Other identifiers 1

IdentifierTypeStateIssuer
001010790006MedicaidPA

National Provider Directory

National Provider Directory
Part of
Josephine Depalma DPM

Locations

2706 N 5th St
Philadelphia, PA 19133
Phone (215) 425-5060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1013191824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191332701",
            "telephone_number": "215-425-5060",
            "fax_number": "215-483-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191332701",
            "telephone_number": "215-425-5060",
            "fax_number": "215-483-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPHINE DEPALMA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOSEPHINE DEPALMA",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "DEPALMA",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "215-425-5060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002712L",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": "SC002712L",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC002712L",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC002712L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001010790006",
            "state": "PA"
        }
    ],
    "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 Dec 28, 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.

Verify at the official NPI Registry.