Organization Active NPI

Cricket Medical Associates LTD

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1043511306
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CRICKET MEDICAL ASSOCIATES LTD
Practice address
39 E Chestnut Hill Ave
Philadelphia, PA 19118-2728
Phone
(215) 248-5600
Fax
(215) 242-0160
NPI assigned
Nov 3, 2010
Last updated
Feb 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Authorized official

Name
Gerald R Phelan, MDNPI 1992744197
Title
President
Phone
(215) 248-5600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

39 E Chestnut Hill Ave
Philadelphia, PA 19118-2728

Mailing address

39 E Chestnut Hill Ave
Philadelphia, PA 19118-2728
Phone (215) 248-5600

National Provider Directory

National Provider Directory

Locations

39 E Chestnut Hill Ave
Philadelphia, PA 19118
Phone (215) 248-5600

Practitioners & affiliated clinicians

Practitioners 1

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": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1043511306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 E CHESTNUT HILL AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182728",
            "telephone_number": "215-248-5600",
            "fax_number": "215-242-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 E CHESTNUT HILL AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182728",
            "telephone_number": "215-248-5600",
            "fax_number": "215-242-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRICKET MEDICAL ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "PHELAN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-248-5600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 18, 2011; 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.