Active NPI
Stoneheart Neurology Consultants
- Neurology Physician
- Philadelphia, PA
National Provider Identifier
1417446998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD446569
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0390593 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI 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.