Individual provider Active NPI

Jack Samuel Nemez, M.D.

  • Internal Medicine Physician
  • Phila, PA
National Provider Identifier
1336171651
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD026922E Issued in PA
Practice address
7001 Kindred St
Phila, PA 19149-1724
Phone
(215) 745-5662
Fax
(215) 722-8722
NPI assigned
Jul 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
Internal Medicine Physician 207R00000X MD026922E PA Primary

Addresses

Primary practice location

7001 Kindred St
Phila, PA 19149-1724

Mailing address

7001 Kindred St
Phila, PA 19149-1724
Phone (215) 745-5662

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
I20101130000996 PA Practitioner - Internal Medicine 1759577943 Practice locations: Philadelphia, PA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7001 Kindred St
Phila, PA 19149-1724
Phone (215) 745-5662

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD026922EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Albert Nemez MD. PC Internal Medicine Past Accepting new patients
Mayfair Operator LLC Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336171651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 KINDRED ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191491724",
            "telephone_number": "215-745-5662",
            "fax_number": "215-722-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 KINDRED ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191491724",
            "telephone_number": "215-745-5662",
            "fax_number": "215-722-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMEZ",
        "first_name": "JACK",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD026922E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.