Organization Active NPI

Geeta Vaze MD PC

  • Internal Medicine Physician
  • Huntingdon Valley, PA
National Provider Identifier
1528278694
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GEETA VAZE MD PC
Practice address
727 Welsh Rd
Suite 101
Huntingdon Valley, PA 19006-6357
Phone
(215) 947-5151
Fax
(215) 947-6858
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Dr. Geeta Vaze, M.D.NPI 1558324343
Title
President
Phone
(215) 947-5151

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

727 Welsh Rd
Suite 101
Huntingdon Valley, PA 19006-6357

Mailing address

727 Welsh Rd
Suite 101
Huntingdon Valley, PA 19006-6357
Phone (215) 947-5151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070620000434 PA Part B Supplier - Clinic/Group Practice 4486753456 Receives reassigned benefits from 1 practitioner
Practice locations: Huntingdon Valley, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1528278694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 WELSH RD",
            "address_2": "SUITE 101",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066357",
            "telephone_number": "215-947-5151",
            "fax_number": "215-947-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 WELSH RD",
            "address_2": "SUITE 101",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066357",
            "telephone_number": "215-947-5151",
            "fax_number": "215-947-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEETA VAZE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "VAZE",
        "authorized_official_first_name": "GEETA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-947-5151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.