NE Physician Services Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NE PHYSICIAN SERVICES INC

Practice address

10400 Roosevelt Blvd
Philadelphia, PA 19116-3905

Phone

(215) 333-6888

NPI assigned

May 14, 2008

Organization subpart

No

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

Authorized official

Name

Diane Depman

Title

Office Administrator

Phone

(215) 333-6888

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

NE Physician Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• NE Physician Services Inc

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1932376357
  NPD tax ID

Locations

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1043487473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3542 WELSH RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191362623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163905",
            "telephone_number": "215-333-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NE PHYSICIAN SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "DEPMAN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "215-333-6888"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0097905013",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Ndu, M.D.
• Chioma Ndubisi, MD
• Goziem Nwanneka Ndubizu, CPNP
• NE Mental Health Inc
• NE Phila Med LTD
• NE Physician Services Inc
• NE Physician Services Inc
• Kevin Thomas Nead, M.D.
• Neadc Transportation Inc
• Lucretia Neal-Beyah, HOMECARE OWNER

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.