Organization Active NPI

Germantown Pain Management

  • General Practice Physician
  • Philadelphia, PA
National Provider Identifier
1538360334
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
GERMANTOWN PAIN MANAGEMENT
Practice address
5537 Germantown Ave
Philadelphia, PA 19144-2225
Phone
(215) 848-3708
Fax
(215) 848-3216
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Authorized official

Name
Kelly J Boyle, MA
Title
Medical Assistant
Phone
(215) 750-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

5537 Germantown Ave
Philadelphia, PA 19144-2225

Mailing address

5537 Germantown Ave
Philadelphia, PA 19144-2225
Phone (215) 848-3708

National Provider Directory

National Provider Directory

Locations

5537 Germantown Ave
Philadelphia, PA 19144
Phone (215) 848-3708

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1538360334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5537 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442225",
            "telephone_number": "215-848-3708",
            "fax_number": "215-848-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5537 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442225",
            "telephone_number": "215-848-3708",
            "fax_number": "215-848-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERMANTOWN PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL ASSISTANT",
        "authorized_official_telephone_number": "215-750-9600",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "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 May 8, 2009; 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.