Individual provider Active NPI

Norma Carandang-Panis, M.D.

  • Pediatrics Physician
  • Trevose, PA
National Provider Identifier
1275610651
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD044730L Issued in PA
Practice address
4829 E Street Rd
Suite 100
Trevose, PA 19053-6647
Phone
(215) 364-5800
Fax
(215) 364-5899
NPI assigned
Nov 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD044730L PA Primary

Addresses

Primary practice location

4829 E Street Rd
Suite 100
Trevose, PA 19053-6647

Mailing address

4829 E Street Rd
Suite 100
Trevose, PA 19053-6647
Phone (215) 364-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080306000198 PA Practitioner - Pediatric Medicine 7113002783 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
City of Philadelphia CurrentSince Jan 7, 2016 Accepting new patients
City of Philadelphia CurrentSince Jan 7, 2016 Accepting new patients
City of Philadelphia Current Accepting new patients
Margiotti & Kroll Pediatrics, P.C. Pediatrics Past Accepting new patients

Locations

1101 Market St
Fl 10
Philadelphia, PA 19107

1900 N 20th St
#5
Philadelphia, PA 19121
Phone (215) 685-2933

4400 Haverford Ave
#4
Philadelphia, PA 19104
Phone (215) 685-7600

Organizations & group practices 4

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275610651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4829 E STREET RD",
            "address_2": "SUITE 100",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536647",
            "telephone_number": "215-364-5800",
            "fax_number": "215-364-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 E STREET RD",
            "address_2": "SUITE 100",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536647",
            "telephone_number": "215-364-5800",
            "fax_number": "215-364-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARANDANG-PANIS",
        "first_name": "NORMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD044730L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trevose, PA

Sources for this page

Verify at the official NPI Registry.