Organization Active NPI

Old York Health Clinic Inc

  • General Practice Physician
  • Philadelphia, PA
National Provider Identifier
1275773095
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
OLD YORK HEALTH CLINIC INC
Practice address
6901 Old York Rd
Suite A101
Philadelphia, PA 19126-2234
Phone
(215) 224-0400
Fax
(215) 224-0445
NPI assigned
Mar 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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

Authorized official

Name
Ashot Nagapetian
Title
President
Phone
(215) 224-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

6901 Old York Rd
Suite A101
Philadelphia, PA 19126-2234

Mailing address

6901 Old York Rd
Suite A101
Philadelphia, PA 19126-2234
Phone (215) 224-0400

National Provider Directory

National Provider Directory

Locations

6901 Old York Rd
Ste A101
Philadelphia, PA 19126
Phone (215) 224-0400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1275773095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 OLD YORK RD",
            "address_2": "SUITE A101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191262234",
            "telephone_number": "215-224-0400",
            "fax_number": "215-224-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 OLD YORK RD",
            "address_2": "SUITE A101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191262234",
            "telephone_number": "215-224-0400",
            "fax_number": "215-224-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD YORK HEALTH CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "NAGAPETIAN",
        "authorized_official_first_name": "ASHOT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-224-0400"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.