Organization Active NPI

Wissinoming Medical Associates PC

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1487609210
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS003680L Issued in PA
Legal business name
WISSINOMING MEDICAL ASSOCIATES PC
Practice address
6122 Torresdale Ave
Philadelphia, PA 19135-3718
Phone
(215) 338-6677
Fax
(215) 338-9935
NPI assigned
May 23, 2006
Last updated
Dec 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Authorized official

Name
Dr. Mitchell A Schwartzman, D.O.NPI 1669470449
Title
Physician
Phone
(215) 338-6677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS003680L PA Primary

Addresses

Primary practice location

6122 Torresdale Ave
Philadelphia, PA 19135-3718

Mailing address

6122 Torresdale Ave
Philadelphia, PA 19135-3718
Phone (215) 338-6677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040621000486 PA Part B Supplier - Clinic/Group Practice 2163407610 Receives reassigned benefits from 8 practitioners
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

6122 Torresdale Ave
Philadelphia, PA 19135
Phone (215) 338-6677

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1487609210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6122 TORRESDALE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191353718",
            "telephone_number": "215-338-6677",
            "fax_number": "215-338-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6122 TORRESDALE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191353718",
            "telephone_number": "215-338-6677",
            "fax_number": "215-338-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISSINOMING MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZMAN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "215-338-6677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS003680L",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.