Organization Active NPI

Digitrace Care Services Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1558501932
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
DIGITRACE CARE SERVICES INC
Practice address
1015 Chestnut St
Ste 917
Philadelphia, PA 19107-4316
Phone
(978) 536-7400
NPI assigned
Feb 25, 2009
Last updated
May 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Authorized official

Name
Joseph Rose
Title
VP of Finance & Administration
Phone
(978) 536-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

1015 Chestnut St
Ste 917
Philadelphia, PA 19107-4316

Mailing address

200 Corporate PL
Suite 5B
Peabody, MA 01960-3840
Phone (978) 536-7400

Other identifiers 6

IdentifierTypeStateIssuer
0658107000OtherPAKEYSTONE
0658107000OtherPAAMERIHEALTH HMO
000020417OtherPAHIGHMARK- BC/BS OF PA
0453320000OtherPAAMERIHEALTH PERS CHOICE
7618325OtherPAAETNA
0453320000OtherPABC/BS PERSONAL CHOICE PPO

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1558501932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE PL",
            "address_2": "SUITE 5B",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603840",
            "telephone_number": "978-536-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 CHESTNUT ST",
            "address_2": "STE 917",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074316",
            "telephone_number": "978-536-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGITRACE CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VP OF FINANCE & ADMINISTRATION",
        "authorized_official_telephone_number": "978-536-7400"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0658107000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "0658107000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK- BC/BS OF PA",
            "identifier": "000020417",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PERS CHOICE",
            "identifier": "0453320000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7618325",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PERSONAL CHOICE PPO",
            "identifier": "0453320000",
            "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 May 17, 2016; 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.