South Philly East Health and Wellness

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTH PHILLY EAST HEALTH AND WELLNESS

Doing business as

Hansjorg Wyss Wellness Center
SoPhiE Health and Wellness

Practice address

1902 S 8TH Street
Philadelphia, PA 19148

Phone

(215) 503-7194

NPI assigned

Nov 9, 2021

Organization subpart

No

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

Authorized official

Name

Corinne Lagermasini

Title

Executive Director

Phone

(267) 792-3033

Specialties & licenses 1

Addresses

Other names 2

• Hansjorg Wyss Wellness Center Doing business as
• SoPhiE Health and Wellness Doing business as

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1194481754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 S 8TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191482434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 S 8TH STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19148",
            "telephone_number": "215-503-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PHILLY EAST HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "LAGERMASINI",
        "authorized_official_first_name": "CORINNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "267-792-3033"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hansjorg Wyss Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SoPhiE Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SoPhiE Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.