Individual provider Active NPI

Evan Zelinger, D.O.

  • General Practice Physician
  • Glenside, PA
National Provider Identifier
1578757902
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS012875 Issued in PA
Practice address
235 N Easton Rd
Glenside, PA 19038-4717
Phone
(215) 366-1122
Fax
(215) 576-0391
NPI assigned
Aug 29, 2007
Last updated
Aug 29, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X OS012875 PA Primary

Addresses

Primary practice location

235 N Easton Rd
Glenside, PA 19038-4717

Mailing address

8202 Westminster Rd
Elkins Park, PA 19027-1409
Phone (215) 886-2914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS012875PAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1578757902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 WESTMINSTER RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271409",
            "telephone_number": "215-886-2914",
            "fax_number": "215-576-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N EASTON RD",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190384717",
            "telephone_number": "215-366-1122",
            "fax_number": "215-576-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELINGER",
        "first_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "OS012875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenside, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.