Avellina, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

AVELLINA, INC

Practice address

9867 Bustleton Ave
Philadelphia, PA 19115-2611

Phone

(215) 676-9333

NPI assigned

Mar 30, 2015

Organization subpart

No

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

Authorized official

Name

Violetta Berdichevskaya

Title

Owner

Phone

(215) 676-9333

Specialties & licenses 1

Addresses

Tax ID family

Avellina2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Avellina Inc.

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1285805507
  NPD tax ID

Locations

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1235524174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1628",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190446628",
            "telephone_number": "215-830-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9867 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191152611",
            "telephone_number": "215-676-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVELLINA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "BERDICHEVSKAYA",
        "authorized_official_first_name": "VIOLETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-676-9333"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Roberta Avalos Hernandez, MD
• Jessica Avart, PSYD
• Michael Avato, DPM
• Rossana I Avelino, M.D.
• Avellina Inc.
• Sean Avellini
• Giovanni Domenico Avelluto, D.O.
• Rosy F Avendano, CRNP
• Avenue Chiropractic Center
• Avenue of the Arts Dental

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.