Organization Active NPI

Philadelphia Women'S Center, Inc.

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1134528532
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00178701 Issued in PA
Legal business name
PHILADELPHIA WOMEN'S CENTER, INC.
Practice address
777 Appletree St
7TH Floor
Philadelphia, PA 19106-1526
Phone
(215) 574-3590
Fax
(215) 574-3595
NPI assigned
Aug 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Authorized official

Name
Anne Griffin
Title
Credentialing Coordinator
Phone
(856) 356-4025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 00178701 PA Primary

Addresses

Primary practice location

777 Appletree St
7TH Floor
Philadelphia, PA 19106-1526

Mailing address

601 Chapel Ave E
Suite B
Cherry Hill, NJ 08034-1454
Phone (856) 356-4025

Other identifiers 1

IdentifierTypeStateIssuer
101798790 0002MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Philadelphia Women'S Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1134528532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CHAPEL AVE E",
            "address_2": "SUITE B",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341454",
            "telephone_number": "856-356-4025",
            "fax_number": "856-356-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 APPLETREE ST",
            "address_2": "7TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191061526",
            "telephone_number": "215-574-3590",
            "fax_number": "215-574-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA WOMEN'S CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "856-356-4025"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "00178701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101798790 0002",
            "state": "PA"
        }
    ],
    "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 Aug 21, 2014; 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.