NPIMap

Organization Active NPI

Nazareth Physician Services, Inc

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1215452982
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NAZARETH PHYSICIAN SERVICES, INC
Practice address
2630 Holme Ave Ste 101
Philadelphia, PA 19152
Phone
(215) 624-6007
Fax
(215) 624-6465
NPI assigned
Aug 3, 2017
Last updated
May 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Authorized official

Name
Amit Powar
Title
President, Medical Group
Phone
(215) 710-6573

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PA
Family Medicine Physician 207Q00000X PA Primary

Addresses

Primary practice location

2630 Holme Ave Ste 101
Philadelphia, PA 19152

Mailing address

41 University Dr Ste 106
Newtown, PA 18940-1873

Other names 1

  • Mercy Primary Care at Holme Avenue Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1215452982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 UNIVERSITY DR STE 106",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 HOLME AVE STE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19152",
            "telephone_number": "215-624-6007",
            "fax_number": "215-624-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZARETH PHYSICIAN SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "POWAR",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "PRESIDENT, MEDICAL GROUP",
        "authorized_official_telephone_number": "215-710-6573"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Primary Care at Holme Avenue",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mercy Primary Care at Holme Avenue",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 2, 2023; 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.