Individual provider Active NPI

Joseph P Talvacchia, DO

  • Gynecology Physician
  • Philadelphia, PA
National Provider Identifier
1245277128
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
OS006119E Issued in PA
Practice address
2301 S Broad St
Suite 102
Philadelphia, PA 19148-3542
Phone
(215) 952-5175
Fax
(215) 463-2540
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X OS006119E PA Primary

Addresses

Primary practice location

2301 S Broad St
Suite 102
Philadelphia, PA 19148-3542

Mailing address

2301 S Broad St
Suite 102
Philadelphia, PA 19148-3542
Phone (215) 952-5175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050509000053 NJ Practitioner - Obstetrics/Gynecology 0244270395 Reassigns benefits to 1 organization
I20111201000128 PA Practitioner - Obstetrics/Gynecology 0244270395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rowan University School of Osteopathic Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Associates in Healthcare, IncGroup PAC ID 6406755651, shared by 3 NPIs, 387 clinicians

Practice addresses (Care Compare)

188 Fries Mill Rd
Suite M3
Turnersville, NJ 08012-2060
Phone (856) 740-0222

2301 S Broad St
Philadelphia, PA 19148-3542
Phone (215) 952-5175

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS006119EPAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Associates in Healthcare, Inc CurrentSince Jul 22, 1988 Accepting new patients
Methodist Associates in Healthcare, Inc Gynecology CurrentSince Feb 2, 2014 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Jul 22, 1988 Accepting new patients
Methodist Associates in Healthcare of New Jersey, P.C. Gynecology Past Accepting new patients
Regional Womens Health Group LLC Past Accepting new patients
Jefferson University Physicians Past Accepting new patients

Locations

188 Fries Mill Rd
Ste M3
Turnersville, NJ 08012
Phone (800) 434-6070

443 Laurel Oak Rd
Ste 100
Voorhees, NJ 08043
Phone (215) 955-5050

333 Laurel Oak Rd
Voorhees, NJ 08043
Phone (856) 344-7360

2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175

2301 S Broad St
Philadelphia, PA 19148
Phone (215) 952-9000

111 S 11th St
Ste 8490
Philadelphia, PA 19107
Phone (215) 955-6161

Organizations & group practices 6

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1245277128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 S BROAD ST",
            "address_2": "SUITE 102",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191483542",
            "telephone_number": "215-952-5175",
            "fax_number": "215-463-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S BROAD ST",
            "address_2": "SUITE 102",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191483542",
            "telephone_number": "215-952-5175",
            "fax_number": "215-463-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALVACCHIA",
        "first_name": "JOSEPH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": "OS006119E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.