Active NPI
Nadine Ahmed El Fawal
- Obstetrics & Gynecology Physician
- Philadelphia, PA
National Provider Identifier
1083457592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MT232513
- Practice address
- 833 Chestnut St FL 1
Philadelphia, PA 19107-4404 - Phone
- (215) 955-6776
- Fax
- (215) 923-1089
- NPI assigned
- Jun 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MT232513 | PA | Primary |
Addresses
Primary practice location
833 Chestnut St FL 1
Philadelphia, PA 19107-4404
Mailing address
833 Chestnut St FL 1
Philadelphia, PA 19107-4404
Phone (215) 955-1085
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT232513 | PA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1083457592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 CHESTNUT ST FL 1",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074404",
"telephone_number": "215-955-1085",
"fax_number": "215-955-5041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 CHESTNUT ST FL 1",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074404",
"telephone_number": "215-955-6776",
"fax_number": "215-923-1089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EL FAWAL",
"first_name": "NADINE",
"middle_name": "AHMED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-13",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MT232513",
"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 Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.