Organization Active NPI

Franklin Cardiovascular Associates, PA

  • Cardiovascular Disease Physician
  • Philadelphia, PA
National Provider Identifier
1295924504
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
FRANKLIN CARDIOVASCULAR ASSOCIATES, PA
Practice address
2300 S Broad St Ste 201
Philadelphia, PA 19145
Phone
(856) 589-6034
Fax
(215) 689-1912
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Authorized official

Name
Nicholas L. Depace, MD
Title
Authorized Official
Phone
(856) 585-6034

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X PA
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X PA Primary
Nuclear Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207UN0901X PA

Addresses

Primary practice location

2300 S Broad St Ste 201
Philadelphia, PA 19145

Mailing address

438 Ganttown Road
Suites B8-B9
Sewell, NJ 08080-1887
Phone (856) 589-6034

Other identifiers 1

IdentifierTypeStateIssuer
007203462-0004MedicaidPA

National Provider Directory

National Provider Directory

Locations

438 Ganttown Rd
Ste B8
Sewell, NJ 08080
Phone (856) 256-7872

438 Ganttown Rd
Ste B8B9
Sewell, NJ 08080

455 Hurffville Crosskeys Rd
Sewell, NJ 08080
Phone (856) 512-0800

805 E Willow Grove Ave
Ste C
Glenside, PA 19038
Phone (215) 966-1546

2046 Oregon Ave
Philadelphia, PA 19145
Phone (856) 585-6034

Practitioners & affiliated clinicians

Practitioners 5

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": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1295924504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 GANTTOWN ROAD",
            "address_2": "SUITES B8-B9",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801887",
            "telephone_number": "856-589-6034",
            "fax_number": "856-589-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S BROAD ST STE 201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19145",
            "telephone_number": "856-589-6034",
            "fax_number": "215-689-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN CARDIOVASCULAR ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "DEPACE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "856-585-6034",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007203462-0004",
            "state": "PA"
        }
    ],
    "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 Jul 17, 2018; 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.