Philadelphia University

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PHILADELPHIA UNIVERSITY

Doing business as

Philadelphia University Sports Medicine

Practice address

4201 Henry Ave
Philadelphia, PA 19144-5409

Phone

(972) 367-4845

NPI assigned

Sep 28, 2017

Last updated

Sep 28, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sonseray Neufeld

Title

Credentialing Specialist

Phone

(972) 367-4845

Specialties & licenses 1

Addresses

Other names 1

• Philadelphia University Sports Medicine Doing business as

Locations

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506556800000",
    "number": "1396254710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 SPRING VALLEY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 HENRY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191445409",
            "telephone_number": "972-367-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2017-09-28",
        "status": "A",
        "authorized_official_last_name": "NEUFELD",
        "authorized_official_first_name": "SONSERAY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "972-367-4845"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Philadelphia University Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Philadelphia Spine Associates
• Philadelphia Supportive Living Solutions
• Philadelphia Supportive Living Solutions LLC
• Philadelphia Surgi Center, Inc.
• Philadelphia Surgical, LLC
• Philadelphia Urology Associates PC
• Philadelphia Urosurgical Associates PC
• Philadelphia VA Clinic
• Philadelphia VA Medica Center
• Philadelphia VA Medical Center

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; 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.