Active NPI
Fort Health Medical Group PA
- Pediatrics Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- FORT HEALTH MEDICAL GROUP PA
- Practice address
- 100 S Juniper St FL 3
Philadelphia, PA 19107-1316 - Phone
- (201) 208-2616
- NPI assigned
- Nov 8, 2023
- Last updated
- May 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Saba Haq, MD
- Title
- President
- Phone
- (949) 463-0650
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Pediatrics Physician | 208000000X | Primary | ||
| Child & Adolescent Psychiatry Physician | 2084P0804X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
100 S Juniper St FL 3
Philadelphia, PA 19107-1316
Mailing address
1887 Whitney Mesa Dr # 9001ZN
Henderson, NV 89014-2069
Phone (201) 208-2616
Other practice location 1
4905 W Tilghman St Ste 300
Allentown, PA 18104-9135
Phone (201) 208-2616
Other practice location 2
7244 Castor Ave # 8177
Philadelphia, PA 19149-1109
Phone (201) 208-2616
National Provider Directory
National Provider Directory- Tax ID family
- Fort Health Medical Group
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Fort Health Medical Group of NC
- Child & Adolescent Psychiatry Physician
- Charlotte, NC
- NPI 1114766284
-
dba Fort Health Medical Group of Texas
- Child & Adolescent Psychiatry Physician
- New York, NY
- NPI 1114789005
-
- Child & Adolescent Psychiatry Physician
- New York, NY
- NPI 1184341117
-
dba Fort Health Medical Group of IL
- Child & Adolescent Psychiatry Physician
- Springfield, IL
- NPI 1972342046
Locations
4905 W Tilghman St
Ste 300
Allentown, PA 18104
Phone (484) 935-1512
7244 Castor Ave
#8177
Philadelphia, PA 19149
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- San Ramon, CA
- NPI 1669460085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747267200000",
"number": "1104690379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1887 WHITNEY MESA DR # 9001ZN",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890142069",
"telephone_number": "201-208-2616",
"fax_number": "973-381-5773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S JUNIPER ST FL 3",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191071316",
"telephone_number": "201-208-2616"
}
],
"practiceLocations": [
{
"address_1": "4905 W Tilghman St Ste 300",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181049135",
"country_code": "US",
"telephone_number": "201-208-2616",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7244 Castor Ave # 8177",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191491109",
"country_code": "US",
"telephone_number": "201-208-2616",
"fax_number": "973-381-5773",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FORT HEALTH MEDICAL GROUP PA",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-08",
"last_updated": "2025-05-15",
"certification_date": "2025-05-02",
"status": "A",
"authorized_official_last_name": "HAQ",
"authorized_official_first_name": "SABA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-463-0650",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"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 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.