NPIMap

Organization Active NPI

Temple University of the Commonwealth System of Higher Education

Doing business as Temple University School of Podiatric Medicine Ambulatory Surgical Ctr

  • Ambulatory Surgical Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1386646891
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
15661501 Issued in PA
Legal business name
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Doing business as
Temple University School of Podiatric Medicine Ambulatory Surgical Ctr
Practice address
8TH at Race Street
Second Floor
Philadelphia, PA 19107-0000
Phone
(215) 625-5381
Fax
(215) 629-4904
NPI assigned
Aug 15, 2005
Organization subpart
Yes
Parent organization
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Dr. Larry Mark Newman, D.P.M
Title
Medical Director
Phone
(215) 625-5310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 15661501 PA Primary

Addresses

Primary practice location

8TH at Race Street
Second Floor
Philadelphia, PA 19107-0000

Mailing address

PO Box 827282
Philadelphia, PA 19182-7282
Phone (215) 625-5341

Other identifiers 7

IdentifierTypeStateIssuer
100778013-0691MedicaidPA
735070OtherPAHEALTH AMERICA HEALTH ASSURANCE/ COVENTRY/ FIRST HEALTH
HU833OtherPAINTER COUNTY HEALTH PLAN
U833OtherPAKEYSTONE MERCY/ AMERI HEALTH
37394OtherPAHEALTH PARTNERS
116487100OtherPAUS DEPARTMENT OF LABOR
2063664OtherPABLUE SHIELD

Other names 1

  • Temple University School of Podiatric Medicine Ambulatory Surgical Ctr Doing business as

National Provider Directory

National Provider Directory
Part of
Temple Diag Imaging Ass

Locations

333 E City Ave
Ste IL9
Bala Cynwyd, PA 19004
Phone (610) 617-9535

7602 Central Ave
Ste 203
Philadelphia, PA 19111
Phone (214) 342-6481

3509 N Broad St
Fl E
Philadelphia, PA 19140

7500 Central Ave
Philadelphia, PA 19111
Phone (215) 214-4100

7600 Central Ave
Ste 203
Philadelphia, PA 19111

3401 N Broad St
Fl 6
Philadelphia, PA 19140
Phone (215) 707-1903

3401 N Broad St
#558
Philadelphia, PA 19140

3401 N Broad St
Ste 580
Philadelphia, PA 19140

7500 Central Ave
Fl 1
Philadelphia, PA 19111

Practitioners & affiliated clinicians

Practitioners 48

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

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1386646891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 827282",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191827282",
            "telephone_number": "215-625-5341",
            "fax_number": "215-629-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8TH AT RACE STREET",
            "address_2": "SECOND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191070000",
            "telephone_number": "215-625-5381",
            "fax_number": "215-629-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION",
        "enumeration_date": "2005-08-15",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "215-625-5310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "15661501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100778013-0691",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA HEALTH ASSURANCE/ COVENTRY/ FIRST HEALTH",
            "identifier": "735070",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTER COUNTY HEALTH PLAN",
            "identifier": "HU833",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY/ AMERI HEALTH",
            "identifier": "U833",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "37394",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR",
            "identifier": "116487100",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "2063664",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Temple University School of Podiatric Medicine Ambulatory Surgical Ctr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.

Verify at the official NPI Registry.