NPIMap

Organization Active NPI

Dpminnocenzinroh LLC

  • Podiatrist
  • Philadelphia, PA
National Provider Identifier
1053639922
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC004675R Issued in PA
Legal business name
DPMINNOCENZINROH LLC
Practice address
1923 Welsh Rd
Philadelphia, PA 19115-4659
Phone
(215) 677-3222
NPI assigned
May 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2010

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

Authorized official

Name
Anthony Innocenzi, DPM
Title
Owner
Phone
(330) 787-2276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X SC004675R PA Primary

Addresses

Primary practice location

1923 Welsh Rd
Philadelphia, PA 19115-4659

Mailing address

4870 S Aspen CT
Canfield, OH 44406-8469
Phone (330) 787-2276

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1053639922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4870 S ASPEN CT",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068469",
            "telephone_number": "330-787-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 WELSH RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154659",
            "telephone_number": "215-677-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DPMINNOCENZINROH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "INNOCENZI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-787-2276",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC004675R",
            "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 May 17, 2010; 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.