Organization Active NPI

Mahdi Sufi Al-Wali El

  • Case Management Agency
  • Philadelphia, PA
National Provider Identifier
1053075580
Registry record updated Oct 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MAHDI SUFI AL-WALI EL
Doing business as
Mahdi Sufi Al-Wali El
Practice address
263 S 52ND St
Philadelphia, PA 19139-4148
Phone
(612) 356-2434
NPI assigned
Oct 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2021

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

Authorized official

Name
Chaplin Mahdi Sufi El, MAGISTRATE
Title
Chaplain
Phone
(267) 815-3494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

263 S 52ND St
Philadelphia, PA 19139-4148

Mailing address

842 N Hutton St
Philadelphia, PA 19104-1407
Phone (612) 356-2434

Other names 1

  • Mahdi Sufi Al-Wali El Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1635638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635638400000",
    "number": "1053075580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 N HUTTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191041407",
            "telephone_number": "612-356-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 S 52ND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191394148",
            "telephone_number": "612-356-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHDI SUFI AL-WALI EL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-31",
        "last_updated": "2021-10-31",
        "certification_date": "2021-10-31",
        "status": "A",
        "authorized_official_last_name": "SUFI EL",
        "authorized_official_first_name": "CHAPLIN MAHDI",
        "authorized_official_title_or_position": "CHAPLAIN",
        "authorized_official_telephone_number": "267-815-3494",
        "authorized_official_credential": "MAGISTRATE"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mahdi Sufi Al-Wali El",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mahdi Sufi Al-Wali El",
            "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 Oct 31, 2021; 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.