Organization Active NPI

Temple Neurology

  • Neurology Physician
  • Philadelphia, PA
National Provider Identifier
1497776140
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
TEMPLE NEUROLOGY
Practice address
7602 Central Ave
Ste 203
Philadelphia, PA 19111-2443
Phone
(215) 342-6481
Fax
(215) 722-2635
NPI assigned
Jul 21, 2006
Organization subpart
No

Practitioners 1

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

National Provider Directory

National Provider Directory
Tax ID family
Temple Diag Imaging Ass28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Authorized official

Name
Donna M Miller
Title
Office Manager
Phone
(215) 342-6481

Specialties & licenses 1

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

Addresses

Primary practice location

7602 Central Ave
Ste 203
Philadelphia, PA 19111-2443

Mailing address

7602 Central Ave
Ste 203
Philadelphia, PA 19111-2443
Phone (215) 342-6481

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1497776140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7602 CENTRAL AVE",
            "address_2": "STE 203",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112443",
            "telephone_number": "215-342-6481",
            "fax_number": "215-722-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7602 CENTRAL AVE",
            "address_2": "STE 203",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112443",
            "telephone_number": "215-342-6481",
            "fax_number": "215-722-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-342-6481"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "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 Nov 8, 2011; 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.