NPIMap

Organization Active NPI

Pennsylvania Medical Professionals, PC

Doing business as Chestnut Hill Hospital Care Associates

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1063468189
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PENNSYLVANIA MEDICAL PROFESSIONALS, PC
Doing business as
Chestnut Hill Hospital Care Associates
Practice address
8815 Germantown Ave
Suite 12
Philadelphia, PA 19118-2722
Phone
(215) 247-8070
Fax
(215) 247-8142
NPI assigned
May 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gary Newsome
Title
Senior VP
Phone
(888) 547-9776

Specialties & licenses 1

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

Addresses

Primary practice location

8815 Germantown Ave
Suite 12
Philadelphia, PA 19118-2722

Mailing address

8815 Germantown Ave
Suite 12
Philadelphia, PA 19118-2722
Phone (215) 247-8070

Other names 1

  • Chestnut Hill Hospital Care Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pennsylvania Medical Professionals PC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8815 Germantown Ave
Ste 12
Philadelphia, PA 19118
Phone (215) 247-8070

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063468189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8815 GERMANTOWN AVE",
            "address_2": "SUITE 12",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182722",
            "telephone_number": "215-247-8070",
            "fax_number": "215-247-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 GERMANTOWN AVE",
            "address_2": "SUITE 12",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182722",
            "telephone_number": "215-247-8070",
            "fax_number": "215-247-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA MEDICAL PROFESSIONALS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "SENIOR VP",
        "authorized_official_telephone_number": "888-547-9776"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chestnut Hill Hospital Care Associates",
            "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 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.