Organization Active NPI

Nazareth Physician Services

Doing business as Nazareth Oncology

  • Medical Oncology Physician
  • Philadelphia, PA
National Provider Identifier
1518397116
Registry record updated Aug 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
Legal business name
NAZARETH PHYSICIAN SERVICES
Doing business as
Nazareth Oncology
Practice address
2701 Holme Ave
Suite 302
Philadelphia, PA 19152-2029
Phone
(610) 567-5336
Fax
(610) 567-6955
NPI assigned
Nov 18, 2013
Last updated
Aug 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2017

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

Authorized official

Name
Phyllis Hilker
Title
Director
Phone
(610) 567-5529

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X PA Primary
Radiation Oncology Physician 2085R0001X

Addresses

Primary practice location

2701 Holme Ave
Suite 302
Philadelphia, PA 19152-2029

Mailing address

1 W Elm St
Suite 100
Conshohocken, PA 19428-4108
Phone (610) 567-6964

Other identifiers 1

IdentifierTypeStateIssuer
095918OtherPAMEDICARE GROUP PTAN

Other names 1

  • Nazareth Oncology Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503878400000",
    "number": "1518397116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W ELM ST",
            "address_2": "SUITE 100",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194284108",
            "telephone_number": "610-567-6964",
            "fax_number": "610-567-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 HOLME AVE",
            "address_2": "SUITE 302",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522029",
            "telephone_number": "610-567-5336",
            "fax_number": "610-567-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZARETH PHYSICIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2017-08-28",
        "status": "A",
        "authorized_official_last_name": "HILKER",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "610-567-5529"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "095918",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nazareth Oncology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 28, 2017; 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.