Organization Active NPI

Edward J Filippone MD PC

  • Nephrology Physician
  • Philadelphia, PA
National Provider Identifier
1043246663
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
EDWARD J FILIPPONE MD PC
Practice address
2228 S Broad St
Philadelphia, PA 19145-3923
Phone
(215) 467-8955
Fax
(215) 467-8956
NPI assigned
Jun 24, 2006
Last updated
Oct 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Edward J Filippone, M.D.,NPI 1649211129
Title
President
Phone
(215) 467-8955

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

2228 S Broad St
Philadelphia, PA 19145-3923

Mailing address

2228 S Broad St
Phila, PA 19145-3923
Phone (215) 467-8955

Other identifiers 1

IdentifierTypeStateIssuer
0012805800003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040330001342 PA Part B Supplier - Clinic/Group Practice 3274525480 Receives reassigned benefits from 3 practitioners
Practice locations: Philadelphia, PA
O20201120000260 NJ Part B Supplier - Clinic/Group Practice 3274525480 Receives reassigned benefits from 1 practitioner
Practice locations: Williamstown, NJ

National Provider Directory

National Provider Directory

Locations

900 Walnut St
Philadelphia, PA 19107
Phone (215) 503-8080

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1043246663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 S BROAD ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191453923",
            "telephone_number": "215-467-8955",
            "fax_number": "215-467-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191453923",
            "telephone_number": "215-467-8955",
            "fax_number": "215-467-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J FILIPPONE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "FILIPPONE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-467-8955",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012805800003",
            "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 Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.