Organization Active NPI

Cardiovascular Medical Associates, P C

  • Cardiovascular Disease Physician
  • Philadelphia, PA
National Provider Identifier
1144339011
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD019676E Issued in PA
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0716167000OtherPAIBC
00046000OtherPAAETNA
0015088510002MedicaidPA

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.