Norman Mudasir DC PC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

DC009174 Issued in PA

Legal business name

NORMAN MUDASIR DC PC

Practice address

6000 N Broad St
Suite 1
Philadelphia, PA 19141-1900

Phone

(215) 424-4005

NPI assigned

Feb 27, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Norman Mudasir, D.C.

Title

Clinical Doctor

Phone

(215) 424-4005

Specialties & licenses 1

Addresses

Other names 1

• ProHealth Medical Center Doing business as

Locations

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1235679044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 N BROAD ST",
            "address_2": "SUITE 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191411900",
            "telephone_number": "215-424-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 N BROAD ST",
            "address_2": "SUITE 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191411900",
            "telephone_number": "215-424-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN MUDASIR DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "MUDASIR",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_title_or_position": "CLINICAL DOCTOR",
        "authorized_official_telephone_number": "215-424-4005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "PA",
            "license": "DC009174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProHealth Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan W Nordlof, CRNP
• Nathan Nordone
• Valerie Janelle Nordquist, MD
• Rathpagna Norin, CRNP
• Catherine Norise, MD
• Donna M Norman
• Marcella Kamile Norman, MA
• Alaina Meghan Noronha, PA-C
• Alexa L Noronha
• Alissa Norris, PA-C, ATC

• Rehabilitation Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Rehabilitation Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.

Verify at the official NPI Registry.