Organization Active NPI

NE Physician Services Inc

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1518923036
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NE PHYSICIAN SERVICES INC
Practice address
3542 Welsh Rd
NE Physician Services Inc
Philadelphia, PA 19136-2623
Phone
(215) 333-6888
Fax
(215) 333-3945
NPI assigned
Apr 24, 2006
Last updated
Sep 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Dr. Stanley T Depman, MDNPI 1689667065
Title
Director
Phone
(215) 333-6888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3542 Welsh Rd
NE Physician Services Inc
Philadelphia, PA 19136-2623

Mailing address

3542 Welsh Rd
NE Physician Services Inc
Philadelphia, PA 19136-2623
Phone (215) 333-6888

Other identifiers 5

IdentifierTypeStateIssuer
0097905000OtherPAPERSONAL CHOICE
CH4674OtherRR MEDICARE
30000255OtherPAKEYSTONE MERCY
405091OtherPABS
0011250730009MedicaidPA

National Provider Directory

National Provider Directory

Locations

2701 Holme Ave
Ste 107
Philadelphia, PA 19152
Phone (215) 335-6674

7044 Torresdale Ave
Philadelphia, PA 19135
Phone (215) 332-7771

9223 Frankford Ave
Philadelphia, PA 19114
Phone (215) 338-1122

Practitioners & affiliated clinicians

Practitioners 6

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": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1518923036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3542 WELSH RD",
            "address_2": "NE PHYSICIAN SERVICES INC",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191362623",
            "telephone_number": "215-333-6888",
            "fax_number": "215-333-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3542 WELSH RD",
            "address_2": "NE PHYSICIAN SERVICES INC",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191362623",
            "telephone_number": "215-333-6888",
            "fax_number": "215-333-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NE PHYSICIAN SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "DEPMAN",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-333-6888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "0097905000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CH4674",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30000255",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "405091",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011250730009",
            "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 Sep 6, 2007; 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.