NPIMap

Organization Active NPI

Health Services of Fox Chase Cancer Center

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1023397262
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HEALTH SERVICES OF FOX CHASE CANCER CENTER
Practice address
333 Cottman Ave
Dru - West BLDG Clinical Research Unit
Philadelphia, PA 19111-2434
Phone
(215) 728-2719
Fax
(215) 214-4046
NPI assigned
Aug 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Dr. J. Robert Beck, MD
Title
Cmo/Cao
Phone
(215) 214-1409

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X

Addresses

Primary practice location

333 Cottman Ave
Dru - West BLDG Clinical Research Unit
Philadelphia, PA 19111-2434

Mailing address

333 Cottman Ave
Medical Staff Office/Enrollment
Philadelphia, PA 19111-2434
Phone (215) 214-1405

Other identifiers 1

IdentifierTypeStateIssuer
0012467940079MedicaidPA

Other names 1

  • Internal Medicine /DRU Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Health Services of Fox Chase Cancer Center10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1023397262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 COTTMAN AVE",
            "address_2": "MEDICAL STAFF OFFICE/ENROLLMENT",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112434",
            "telephone_number": "215-214-1405",
            "fax_number": "215-728-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 COTTMAN AVE",
            "address_2": "DRU - WEST BLDG CLINICAL RESEARCH UNIT",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112434",
            "telephone_number": "215-728-2719",
            "fax_number": "215-214-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SERVICES OF FOX CHASE CANCER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "J. ROBERT",
        "authorized_official_title_or_position": "CMO/CAO",
        "authorized_official_telephone_number": "215-214-1409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012467940079",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine /DRU",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 25, 2012; 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.