Individual provider Active NPI

Danielle Amy Snyderman, M.D.

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1477761682
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD428364 Issued in PA
Practice address
509 S Broad St
Philadelphia, PA 19147-1005
Phone
(215) 546-0224
NPI assigned
May 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD428364 PA Primary

Addresses

Primary practice location

509 S Broad St
Philadelphia, PA 19147-1005

Mailing address

144 Leverington Ave
Philadelphia, PA 19127-2018
Phone (215) 509-6225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070910000886 PA Practitioner - Family PracticePractitioner - Geriatric Medicine 4486747250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Howard University College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

833 Chestnut St
East 3Rd FLR Suite 301
Philadelphia, PA 19107-5102
Phone (215) 955-7190

Hospital & facility affiliations

  • Accentcare Health of Pennsylvania Home health agency, Bristol, PA, CCN 397472
  • Caring Hospice Services Hospice, Fort Washington, PA, CCN 391616
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231
  • Health Center at the Hill at Whitemarsh, the Nursing home, Lafayette Hill, PA, CCN 396113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD428364PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Physicians Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477761682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 LEVERINGTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191272018",
            "telephone_number": "215-509-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471005",
            "telephone_number": "215-546-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDERMAN",
        "first_name": "DANIELLE",
        "middle_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD428364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.