Christa Habboushe, MD, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD033959L Issued in PA

Legal business name

CHRISTA HABBOUSHE, MD, LLC

Practice address

4534 Richmond St
Phila, PA 19137-2040

Phone

(215) 743-3335

Fax

(215) 744-2109

NPI assigned

Sep 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christa Habboushe, MD, LLCNPI 1912964750

Title

Owner

Phone

(215) 743-3335

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Christa P Habboushe, M.D.

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1912964750
  NPD (past) Authorized official
• Fawzi P Habboushe, M.D.

  • Surgery Physician
  • Phila, PA
  • NPI 1881630432
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053418293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4534 RICHMOND ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191372040",
            "telephone_number": "215-743-3335",
            "fax_number": "215-744-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4534 RICHMOND ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191372040",
            "telephone_number": "215-743-3335",
            "fax_number": "215-744-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTA HABBOUSHE, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HABBOUSHE",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-743-3335",
        "authorized_official_credential": "MD, LLC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD033959L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENTITY NUMBER",
            "identifier": "3297483",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chestnut Hill Medical
• Ramsey H. Chew Jr., DMD
• Daranee Chewaproug, DO
• Andrew Kah Wai Chong, MD
• Cuckoo Choudhary, M.D.
• Debra Christian-Grandy, ACSW
• Deborah Heeran Chun, MD
• Augustine Ciardullo, P.T.
• City of Phila (Riverview Home)
• City of Philadelphia (Phila Health Dept Laboratory)

• Family Medicine Physician in Phila, PA
• Providers in Phila, 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 Aug 22, 2020; 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.