Organization Active NPI

Greater Philadelphia Asian Social Service Center

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1497914923
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
807367 Issued in PA
Legal business name
GREATER PHILADELPHIA ASIAN SOCIAL SERVICE CENTER
Practice address
4943 N 5TH St
Philadelphia, PA 19120-3809
Phone
(215) 456-1662
Fax
(215) 456-1664
NPI assigned
Jun 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Mr. Eunyoun Kim
Title
Project Director
Phone
(215) 456-1662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 807367 PA Primary

Addresses

Primary practice location

4943 N 5TH St
Philadelphia, PA 19120-3809

Mailing address

4943 N 5TH St
Philadelphia, PA 19120-3809
Phone (215) 456-1662

Other identifiers 2

IdentifierTypeStateIssuer
100730234 0003MedicaidPA
100730234 0002MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1497914923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4943 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191203809",
            "telephone_number": "215-456-1662",
            "fax_number": "215-456-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4943 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191203809",
            "telephone_number": "215-456-1662",
            "fax_number": "215-456-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER PHILADELPHIA ASIAN SOCIAL SERVICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "EUNYOUN",
        "authorized_official_title_or_position": "PROJECT DIRECTOR",
        "authorized_official_telephone_number": "215-456-1662",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "807367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100730234 0003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100730234 0002",
            "state": "PA"
        }
    ],
    "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 Jun 9, 2008; 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.