Organization Active NPI

North Philadelphia Family Practice

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1386859635
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTH PHILADELPHIA FAMILY PRACTICE
Practice address
1228 N Franklin St
Suite 136, Adc Building
Philadelphia, PA 19122-4328
Phone
(215) 787-2365
Fax
(215) 787-2345
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Dr. Larry A Wolk, M.D.
Title
President
Phone
(215) 787-2365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1228 N Franklin St
Suite 136, Adc Building
Philadelphia, PA 19122-4328

Mailing address

1228 N Franklin St
Suite 136, Adc Building
Philadelphia, PA 19122-4328
Phone (215) 787-2365

National Provider Directory

National Provider Directory

Locations

1228 N Franklin St
Philadelphia, PA 19122
Phone (215) 787-2365

1228 N Franklin St
Ste 136
Philadelphia, PA 19122
Phone (215) 787-2365

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1386859635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 N FRANKLIN ST",
            "address_2": "SUITE 136, ADC BUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191224328",
            "telephone_number": "215-787-2365",
            "fax_number": "215-787-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 N FRANKLIN ST",
            "address_2": "SUITE 136, ADC BUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191224328",
            "telephone_number": "215-787-2365",
            "fax_number": "215-787-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PHILADELPHIA FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "WOLK",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-787-2365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 6, 2007; 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.