Organization Active NPI

Richard Skaroff, M.D.

  • Clinic/Center
  • Phila, PA
National Provider Identifier
1437359528
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MD027118E Issued in PA
Legal business name
RICHARD SKAROFF, M.D.
Practice address
8001 Roosevelt Blvd
Suite 209
Phila, PA 19152-3038
Phone
(215) 543-9300
Fax
(215) 543-9313
NPI assigned
Jul 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Richard M. Skaroff, M.D.NPI 1750477741
Title
M.D.
Phone
(215) 543-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MD027118E PA Primary

Addresses

Primary practice location

8001 Roosevelt Blvd
Suite 209
Phila, PA 19152-3038

Mailing address

8001 Roosevelt Blvd
Suite 209
Phila, PA 19152-3038
Phone (215) 543-9300

Other identifiers 1

IdentifierTypeStateIssuer
1165500MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1437359528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 ROOSEVELT BLVD",
            "address_2": "SUITE 209",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191523038",
            "telephone_number": "215-543-9300",
            "fax_number": "215-543-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 ROOSEVELT BLVD",
            "address_2": "SUITE 209",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191523038",
            "telephone_number": "215-543-9300",
            "fax_number": "215-543-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD SKAROFF, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "SKAROFF",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "215-543-9300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "MD027118E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1165500",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.