Emmanuel C. Besa, M.D.

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

MD015620E Issued in PA

Practice address

111 S 11TH St
Suite 4240
Philadelphia, PA 19107-4824

Phone

(215) 955-8874

Fax

(215) 955-2340

NPI assigned

Jul 21, 2006

Last updated

May 26, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1114947967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 CHESTNUT ST",
            "address_2": "14TH FLOOR, CENTRAL ENROLLMENT",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST",
            "address_2": "SUITE 4240",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074824",
            "telephone_number": "215-955-8874",
            "fax_number": "215-955-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESA",
        "first_name": "EMMANUEL",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD015620E",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "PA",
            "license": "MD015620E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9079904",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000755660",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Bertolet
• Julianna Marie Bertolino, PA-C
• Bertolinos Pharmacy Inc
• Bertram Jacobson (Jacobson Chiropractic Health Center)
• Hanna Kay Bertucci
• Mathew N Beshara, MD
• Behdad David Besharatian, MD
• Samir Beso, MD
• Youssef Bessada, PHARMD
• Lornall Bessellieu, M,G.C.O.D.

• Medical Oncology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Medical Oncology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.