Organization Active NPI

Stoneheart Neurology Consultants

  • Neurology Physician
  • Philadelphia, PA
National Provider Identifier
1417446998
Registry record updated May 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD446569 Issued in PA
Legal business name
STONEHEART NEUROLOGY CONSULTANTS
Practice address
5735 Ridge Ave Ste 101
Philadelphia, PA 19128
Phone
(215) 310-8087
Fax
(215) 940-9690
NPI assigned
May 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2018

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

Authorized official

Name
Sonia Anand-Nichols, MD
Title
Owner
Phone
(215) 310-8087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0400X MD446569 PA Primary

Addresses

Primary practice location

5735 Ridge Ave Ste 101
Philadelphia, PA 19128

Mailing address

5735 Ridge Ave Ste 101
Philadelphia, PA 19128-1746
Phone (215) 310-8087

Other identifiers 1

IdentifierTypeStateIssuer
0390593MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527292800000",
    "number": "1417446998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5735 RIDGE AVE STE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281746",
            "telephone_number": "215-310-8087",
            "fax_number": "215-940-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5735 RIDGE AVE STE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19128",
            "telephone_number": "215-310-8087",
            "fax_number": "215-940-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEHEART NEUROLOGY CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-26",
        "status": "A",
        "authorized_official_last_name": "ANAND-NICHOLS",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-310-8087",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD446569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0390593",
            "state": "NJ"
        }
    ],
    "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 May 26, 2018; 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.