Organization Active NPI

Alexander Zlatnik MD,PHD,PC

  • Neurology Physician
  • Philadelphia, PA
National Provider Identifier
1033427141
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD057614L Issued in PA
Legal business name
ALEXANDER ZLATNIK MD,PHD,PC
Practice address
8597 Bustleton Ave
Philadelphia, PA 19152-1215
Phone
(215) 725-9100
Fax
(215) 725-9102
NPI assigned
Sep 23, 2010
Last updated
Sep 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Authorized official

Name
Mr. Alexander A Zlatnik, MD
Title
Medical Doctor
Phone
(215) 725-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD057614L PA Primary

Addresses

Primary practice location

8597 Bustleton Ave
Philadelphia, PA 19152-1215

Mailing address

8597 Bustleton Ave
Philadelphia, PA 19152-1215
Phone (215) 725-9100

Other identifiers 1

IdentifierTypeStateIssuer
433058OtherPAINDEPENDENCE BLUECROSS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1033427141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8597 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191521215",
            "telephone_number": "215-725-9100",
            "fax_number": "215-725-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8597 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191521215",
            "telephone_number": "215-725-9100",
            "fax_number": "215-725-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER ZLATNIK MD,PHD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "ZLATNIK",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "215-725-9100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD057614L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUECROSS",
            "identifier": "433058",
            "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 Sep 23, 2010; 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.