Organization Active NPI

Vytaliz Medical PC

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1053777201
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VYTALIZ MEDICAL PC
Practice address
100 Leverington Ave
Suite 37
Philadelphia, PA 19127-2039
Phone
(646) 779-4311
NPI assigned
Jan 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Authorized official

Name
Amer Alnajar, MD
Title
Owner
Phone
(646) 779-4311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

100 Leverington Ave
Suite 37
Philadelphia, PA 19127-2039

Mailing address

298 5TH Ave
4TH FL
New York, NY 10001-4522
Phone (646) 779-4311

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1053777201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 5TH AVE",
            "address_2": "4TH FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014522",
            "telephone_number": "646-779-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LEVERINGTON AVE",
            "address_2": "SUITE 37",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191272039",
            "telephone_number": "646-779-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VYTALIZ MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "ALNAJAR",
        "authorized_official_first_name": "AMER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-779-4311",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "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 Jan 4, 2016; 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.