Individual provider Active NPI

Amy Chernoff Fuchs, MD

  • Infectious Disease Physician
  • Philadelphia, PA
National Provider Identifier
1215987805
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD056090L Issued in PA
Practice address
219 N Broad St
5TH Floor
Philadelphia, PA 19107-1519
Phone
(215) 762-6555
Fax
(215) 762-3031
NPI assigned
May 12, 2006
Last updated
Apr 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD056090L PA Primary

Addresses

Primary practice location

219 N Broad St
5TH Floor
Philadelphia, PA 19107-1519

Mailing address

1601 Cherry St
Suite 11511
Philadelphia, PA 19102-1321
Phone (215) 255-7822

Other identifiers 1

IdentifierTypeStateIssuer
001527991MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Drexel University Infectious Disease CurrentSince Nov 11, 2016 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jan 21, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jan 21, 2024 Accepting new patients
Drexel University Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients

Locations

1501 Lansdowne Ave
Ste 207
Darby, PA 19023
Phone (610) 237-5817

1501 Lansdowne Ave
Ste 302
Darby, PA 19023
Phone (610) 237-2531

1503 Lansdowne Ave
Ste 3001
Darby, PA 19023
Phone (610) 586-4100

1503 Lansdowne Ave
Ste 3003
Darby, PA 19023
Phone (610) 586-4100

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530

1427 Vine St
Fl 8
Philadelphia, PA 19102
Phone (215) 762-6660

1601 Cherry St
Ste 11511
Philadelphia, PA 19102

219 N Broad St
Fl 6
Philadelphia, PA 19107
Phone (215) 762-5037

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1215987805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CHERRY ST",
            "address_2": "SUITE 11511",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021321",
            "telephone_number": "215-255-7822",
            "fax_number": "215-255-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N BROAD ST",
            "address_2": "5TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071519",
            "telephone_number": "215-762-6555",
            "fax_number": "215-762-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUCHS",
        "first_name": "AMY",
        "middle_name": "CHERNOFF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD056090L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001527991",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.