Active NPI
Cardiovascular Medical Associates, P C
- Cardiovascular Disease Physician
- Philadelphia, PA
National Provider Identifier
1144339011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD019676E
- Legal business name
- CARDIOVASCULAR MEDICAL ASSOCIATES, P C
- Practice address
- 818 Chestnut St
Philadelphia, PA 19107-5104 - Phone
- (215) 629-1159
- Fax
- (215) 923-7621
- NPI assigned
- Aug 30, 2006
- Last updated
- Apr 26, 2010
- 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. Philip Nimoityn, MD
- Title
- President
- Phone
- (215) 629-1159
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD019676E | PA | Primary |
Addresses
Primary practice location
818 Chestnut St
Philadelphia, PA 19107-5104
Mailing address
PO Box 58263
Philadelphia, PA 19102-8263
Phone (215) 629-1159
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0716167000 | Other | PA | IBC |
| 00046000 | Other | PA | AETNA |
| 0015088510002 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
1128 Walnut St
Ste 401
Philadelphia, PA 19107
Phone (215) 629-1158
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.
-
- Nuclear Cardiology Physician
- Gladwyne, PA
- NPI 1467457218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272240000000",
"number": "1144339011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 58263",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191028263",
"telephone_number": "215-629-1159",
"fax_number": "215-923-7621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 CHESTNUT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075104",
"telephone_number": "215-629-1159",
"fax_number": "215-923-7621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOVASCULAR MEDICAL ASSOCIATES, P C",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2010-04-26",
"status": "A",
"authorized_official_last_name": "NIMOITYN",
"authorized_official_first_name": "PHILIP",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-629-1159",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD019676E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "0716167000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "00046000",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015088510002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- Serena Cardillo, MD
- Cardiology Consultants of Greater Philadelphia PC
- Cardiology Consultants of Philadelphia, P.C.
- Cardiology Medical Associates PC
- Cardiology Technology Group Inc
- Dariela Cardo, O.D.
- David Cardona, MS IN HUMAN SERVICES
- Katie Colleen Cardone
- Cardonick Chiropractic PC
- Brett David Cardonick, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.