Active NPI
Endocrine Metabolic Assoc PC
- Endocrinology, Diabetes & Metabolism Physician
- Philadelphia, PA
National Provider Identifier
1598700460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- ENDOCRINE METABOLIC ASSOC PC
- Practice address
- 9501 Roosevelt Blvd
Suite 400
Philadelphia, PA 19114-1025 - Phone
- (215) 969-9511
- Fax
- (215) 969-9512
- NPI assigned
- Jun 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven B Nagelberg, MD
- Title
- President Ema
- Phone
- (215) 969-9511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
Addresses
Primary practice location
9501 Roosevelt Blvd
Suite 400
Philadelphia, PA 19114-1025
Mailing address
9501 Roosevelt Blvd
Suite 400
Philadelphia, PA 19114-1025
Phone (215) 969-9511
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007539700003 | Medicaid | PA | |
| 000074435 | Other | PA | HIGHMARK BLUE SHIELD |
| 000074435 | Other | PA | MEDICARE |
| 0048627000 | Other | PA | IBC |
National Provider Directory
National Provider DirectoryLocations
555 E City Line Ave
Ste 930
Bala Cynwyd, PA 19004
Phone (610) 667-7525
9501 Roosevelt Blvd
Ste 300
Philadelphia, PA 19114
Phone (215) 676-7393
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Sewell, NJ
- NPI 1891844569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462406400000",
"number": "1598700460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9501 ROOSEVELT BLVD",
"address_2": "SUITE 400",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191141025",
"telephone_number": "215-969-9511",
"fax_number": "215-969-9512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9501 ROOSEVELT BLVD",
"address_2": "SUITE 400",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191141025",
"telephone_number": "215-969-9511",
"fax_number": "215-969-9512"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDOCRINE METABOLIC ASSOC PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-17",
"last_updated": "2016-05-05",
"status": "A",
"authorized_official_last_name": "NAGELBERG",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT EMA",
"authorized_official_telephone_number": "215-969-9511",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007539700003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "000074435",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "000074435",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "0048627000",
"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 5, 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.