Active NPI
Miriam Olga Anolik, MD
- Pediatrics Physician
- Bala Cynwyd, PA
National Provider Identifier
1366524043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD019870E
- Practice address
- 25 Bala Ave Ste 102
Bala Cynwyd, PA 19004-3214 - Phone
- (215) 452-0304
- Fax
- (215) 452-0311
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD019870E | PA | Primary |
Addresses
Primary practice location
25 Bala Ave Ste 102
Bala Cynwyd, PA 19004-3214
Mailing address
25 Bala Ave Ste 102
Bala Cynwyd, PA 19004-3214
Phone (215) 452-0304
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110427000107 | PA | Practitioner - Pediatric Medicine | 4082899547 |
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2085 N 63Rd St
Philadelphia, PA 19151-2675
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Philadelphia Health Associates-Pediatrics, PC | Pediatrics | Current | Accepting new patients |
| Plastic & Cosmetic Surgery Institute PC | Past | Accepting new patients |
Locations
25 Bala Ave
Ste 102
Bala Cynwyd, PA 19004
Phone (215) 452-0304
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JAJDBA/Endpoint/JAJDBA
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Bala Cynwyd, PA
- NPI 1770547499
-
- Specialist
- Vineland, NJ
- NPI 1154639052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566172800000",
"number": "1366524043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 BALA AVE STE 102",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190043214",
"telephone_number": "215-452-0304",
"fax_number": "215-452-0311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 BALA AVE STE 102",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190043214",
"telephone_number": "215-452-0304",
"fax_number": "215-452-0311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANOLIK",
"first_name": "MIRIAM",
"middle_name": "OLGA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2019-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD019870E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.