Active NPI
Judy Politzer, CNM
- Advanced Practice Midwife
- Philadelphia, PA
National Provider Identifier
1174525877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- MW008143L
- Practice address
- 1401 S 31St St
Philadelphia, PA 19146-3506 - Phone
- (215) 755-7700
- Fax
- (215) 755-3177
- NPI assigned
- Aug 11, 2005
- Last updated
- Apr 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | MW008143L | PA | Primary |
Addresses
Primary practice location
1401 S 31St St
Philadelphia, PA 19146-3506
Mailing address
1401 S 31St St
2ND Floor
Philadelphia, PA 19146-3506
Phone (215) 925-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014977850003 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MW008143L | PA | MD | Advanced Practice Midwife |
Interoperability endpoints
- judith.politzer.p1@direct.gpha.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1174525877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 S 31ST ST",
"address_2": "2ND FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191463506",
"telephone_number": "215-925-2400",
"fax_number": "215-925-9162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S 31ST ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191463506",
"telephone_number": "215-755-7700",
"fax_number": "215-755-3177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLITZER",
"first_name": "JUDY",
"credential": "CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-11",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "PA",
"license": "MW008143L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014977850003",
"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 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.