Organization Active NPI

Lee N Hanuschak,MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Philadelphia, PA
National Provider Identifier
1336184498
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD021132E Issued in PA
Legal business name
LEE N HANUSCHAK,MD
Practice address
829 Spruce St
Suite 304
Philadelphia, PA 19107-5752
Phone
(215) 627-1404
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lee N HanuschakNPI 1255379962
Title
MD
Phone
(215) 627-1404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X MD021132E PA Primary

Addresses

Primary practice location

829 Spruce St
Suite 304
Philadelphia, PA 19107-5752

Mailing address

829 Spruce St
Suite 304
Philadelphia, PA 19107-5752

National Provider Directory

National Provider Directory

Locations

829 Spruce St
Ste 304
Philadelphia, PA 19107
Phone (215) 572-5555

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": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336184498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 SPRUCE ST",
            "address_2": "SUITE 304",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 SPRUCE ST",
            "address_2": "SUITE 304",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075752",
            "telephone_number": "215-627-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE N HANUSCHAK,MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANUSCHAK",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "215-627-1404"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD021132E",
            "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 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.