Active NPI
Temple Neurology
- Neurology Physician
- Philadelphia, PA
National Provider Identifier
1497776140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- 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 Ass
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NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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
{
"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.