Active NPI
Nawal A Youssef, M.D.
- Legal Medicine
- Collegeville, PA
National Provider Identifier
1376512038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- MD040252E
- Practice address
- 3770 Ridge Pike
Collegeville, PA 19426-3170 - Phone
- (610) 489-8130
- Fax
- (610) 489-8136
- NPI assigned
- Mar 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Legal Medicine | 173000000X | MD040252E | PA | Primary |
Addresses
Primary practice location
3770 Ridge Pike
Collegeville, PA 19426-3170
Mailing address
3770 Ridge Pike
Collegeville, PA 19426-3170
Phone (610) 489-8130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114072 | Other | PA | PA BLUE SHIELD GROUP# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD040252E | PA | MD | Legal Medicine |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358294400000",
"number": "1376512038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3770 RIDGE PIKE",
"city": "COLLEGEVILLE",
"state": "PA",
"postal_code": "194263170",
"telephone_number": "610-489-8130",
"fax_number": "610-489-8136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3770 RIDGE PIKE",
"city": "COLLEGEVILLE",
"state": "PA",
"postal_code": "194263170",
"telephone_number": "610-489-8130",
"fax_number": "610-489-8136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUSSEF",
"first_name": "NAWAL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-15",
"last_updated": "2013-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "PA",
"license": "MD040252E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BLUE SHIELD GROUP#",
"identifier": "114072",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Collegeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.