NPIMap

Organization Active NPI

Philadelphia Occhealth Dba Worknet Occmed

  • Occupational Medicine Clinic/Center
  • Huntingdon Valley, PA
National Provider Identifier
1366533192
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
MD049587L Issued in PA
Legal business name
PHILADELPHIA OCCHEALTH DBA WORKNET OCCMED
Practice address
1800 Byberry Rd
Suite 705
Huntingdon Valley, PA 19006-3518
Phone
(215) 938-0800
NPI assigned
Sep 27, 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
Gordon C Manin, MD
Title
Owner
Phone
(215) 947-5005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X MD049587L PA Primary

Addresses

Primary practice location

1800 Byberry Rd
Suite 705
Huntingdon Valley, PA 19006-3518

Mailing address

PO Box 827842
Philadelphia, PA 19182-7918
Phone (215) 938-0800

National Provider Directory

National Provider Directory
Tax ID family
Occupational Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1800 Byberry Rd
Ste 705
Huntingdon Vy, PA 19006
Phone (215) 947-5005

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366533192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 827842",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191827918",
            "telephone_number": "215-938-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BYBERRY RD",
            "address_2": "SUITE 705",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063518",
            "telephone_number": "215-938-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA OCCHEALTH DBA WORKNET OCCMED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANIN",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-947-5005",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "PA",
            "license": "MD049587L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, 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.