NPIMap

Organization Active NPI

Health Services of Fox Chase Cancer Center

  • Pain Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1114029592
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
HEALTH SERVICES OF FOX CHASE CANCER CENTER
Practice address
333 Cottman Avenue
Philadelphia, PA 19111
Phone
(215) 728-6900
Fax
(215) 728-3593
NPI assigned
Sep 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Robert Beck
Title
Senior Vice President
Phone
(215) 214-1490

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary
Special Hospital 284300000X 012901 PA

Addresses

Primary practice location

333 Cottman Avenue
Philadelphia, PA 19111

Mailing address

333 Cottman Avenue
Medical Staff Office
Philadelphia, PA 19111
Phone (215) 728-6900

Other identifiers 1

IdentifierTypeStateIssuer
0012467940074MedicaidPA

Other names 1

  • Pain Management Associates of FCCC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Health Services of Fox Chase Cancer Center10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1114029592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 COTTMAN AVENUE",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19111",
            "telephone_number": "215-728-6900",
            "fax_number": "215-728-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 COTTMAN AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19111",
            "telephone_number": "215-728-6900",
            "fax_number": "215-728-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SERVICES OF FOX CHASE CANCER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "215-214-1490"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "PA",
            "license": "012901",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012467940074",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Management Associates of FCCC",
            "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 Feb 2, 2012; 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.