Active NPI
University of Penn-Neurology Assts.
- Neurology Physician
- Philadelphia, PA
National Provider Identifier
1346359510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- UNIVERSITY OF PENN-NEUROLOGY ASSTS.
- Practice address
- 3400 Spruce St
2 Ravdin
Philadelphia, PA 19104-4206 - Phone
- (215) 662-3606
- NPI assigned
- Aug 30, 2006
- Last updated
- Jan 6, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Johnston
- Title
- Executive Director
- Phone
- (215) 662-7583
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | PA | Primary | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | PA |
Addresses
Primary practice location
3400 Spruce St
2 Ravdin
Philadelphia, PA 19104-4206
Mailing address
3400 Spruce St
2 Ravdin
Philadelphia, PA 19104-4206
Phone (215) 662-3606
National Provider Directory
National Provider DirectoryLocations
330 N 9th St
Philadelphia, PA 19107
Phone (215) 829-6500
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurology Physician
- Philadelphia, PA
- NPI 1396907143
-
- Neurology Physician
- Pearland, TX
- NPI 1619130929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388966400000",
"number": "1346359510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 SPRUCE ST",
"address_2": "2 RAVDIN",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044206",
"telephone_number": "215-662-3606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 SPRUCE ST",
"address_2": "2 RAVDIN",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044206",
"telephone_number": "215-662-3606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OF PENN-NEUROLOGY ASSTS.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2014-01-06",
"status": "A",
"authorized_official_last_name": "JOHNSTON",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "215-662-7583"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": null,
"primary": true
},
{
"code": "2084N0402X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "PA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- University of Penn-Medical Group
- University of Penn-Medical Group
- University of Penn-Medical Group
- University of Penn-Medical Group
- University of Penn-Medical Group
- University of Penn-PA Trauma
- University of Penn-Rad Onc
- University of Pennsylvania
- University of Pennsylvania
- University of Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.