Organization Active NPI

Iyi

  • Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1104084391
Registry record updated May 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
IYI
Practice address
6425 Tulip St
Philadelphia, PA 19135-3324
Phone
(215) 971-7389
NPI assigned
May 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2008

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

Authorized official

Name
Dr. Willy Kasongo, M.D., R.V.S.
Title
C.E.O.
Phone
(215) 971-7389

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Physiological Laboratory 293D00000X

Addresses

Primary practice location

6425 Tulip St
Philadelphia, PA 19135-3324

Mailing address

6425 Tulip St
Philadelphia, PA 19135-3324
Phone (215) 971-7389

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211673600000",
    "number": "1104084391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 TULIP ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191353324",
            "telephone_number": "215-971-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 TULIP ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191353324",
            "telephone_number": "215-971-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IYI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-25",
        "last_updated": "2008-05-25",
        "status": "A",
        "authorized_official_last_name": "KASONGO",
        "authorized_official_first_name": "WILLY",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "215-971-7389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., R.V.S."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 25, 2008; 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.