Alisa Surgical Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

ALISA SURGICAL INC

Practice address

8422 Bustleton Ave
Philadelphia, PA 19152

Phone

(215) 722-0958

Fax

(215) 722-0978

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Tsiva Gutman

Title

Chef Financial Officer

Phone

(215) 722-0958

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275678450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8422 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19152",
            "telephone_number": "215-722-0958",
            "fax_number": "215-722-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8422 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19152",
            "telephone_number": "215-722-0958",
            "fax_number": "215-722-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALISA SURGICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUTMAN",
        "authorized_official_first_name": "TSIVA",
        "authorized_official_title_or_position": "CHEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "215-722-0958",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009775510002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Zahra Alipour, MD
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• Latafat Aliyeva, D.D.S.
• Hamza Alizai, M.D.
• Hind Aljarahi, DMD
• Reem Aljohani, MD

• Customized Equipment (DME) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Customized Equipment (DME) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.