Roberto P Panis MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ROBERTO P PANIS MD PC

Practice address

2352 Philmont Ave
Huntingdon Valley, PA 19006-6228

Phone

(215) 947-4574

Fax

(215) 947-0904

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Roberto PanisNPI 1346301801

Title

President

Phone

(215) 947-4574

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roberto Panis, M.D.

  • Internal Medicine Physician
  • Huntingdon Valley, PA
  • NPI 1346301801
  Medicare reassignment NPD Authorized official
• Larry Warren Cohen, M.D.

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1013992957
  NPD (past)
• Agnes Vida Quebral, MD

  • Internal Medicine Physician
  • West Seneca, NY
  • NPI 1861553349
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1366599292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2352 PHILMONT AVE",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066228",
            "telephone_number": "215-947-4574",
            "fax_number": "215-947-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2352 PHILMONT AVE",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066228",
            "telephone_number": "215-947-4574",
            "fax_number": "215-947-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTO P PANIS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "PANIS",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-947-4574",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "001415714",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1415714",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "2102236001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11509062",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Right Aid, Inc
• John Todd Ritchie, D.C.
• Rite Aid of Pennsylvania LLC
• Eric Sean Rivera, LICENSED DISPENSER
• Melissa Rivera, PA-C
• John M Rodgers, M.D.
• Kiri Rogers, MSW
• Andrew Baldwin Rose, M.D.
• Robert Rosenthal, PH.D.
• Kristen Rosowski

• Internal Medicine Physician in Huntingdon Valley, PA
• Providers in Huntingdon Valley, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.