Active NPI
Nana Aburjania
- Infectious Disease Physician
- Philadelphia, PA
National Provider Identifier
1053540955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MD462655
- Practice address
- 1015 Chestnut St Ste 1020
Philadelphia, PA 19107-4310 - Phone
- (215) 955-7785
- Fax
- (215) 923-9362
- NPI assigned
- Jul 13, 2009
- Last updated
- Jul 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 004047 | NY | |
| Infectious Disease Physician | 207RI0200X | 54651 | MN | |
| Hospitalist Physician | 208M00000X | 004047 | NY | |
| Infectious Disease Physician | 207RI0200X | MD462655 | PA | Primary |
Addresses
Primary practice location
1015 Chestnut St Ste 1020
Philadelphia, PA 19107-4310
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Other practice location 1
840 Walnut St
Philadelphia, PA 19107-5109
Phone (215) 955-7785
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004047 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1053540955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050001",
"telephone_number": "507-284-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 CHESTNUT ST STE 1020",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074310",
"telephone_number": "215-955-7785",
"fax_number": "215-923-9362"
}
],
"practiceLocations": [
{
"address_1": "840 Walnut St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191075109",
"country_code": "US",
"telephone_number": "215-955-7785",
"fax_number": "215-955-9362",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABURJANIA",
"first_name": "NANA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-13",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "004047",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "MN",
"license": "54651",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "004047",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "PA",
"license": "MD462655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.