NPIMap

Organization Active NPI

Ninth Street Internal Medicine Associates LTD

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1598719627
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NINTH STREET INTERNAL MEDICINE ASSOCIATES LTD
Practice address
805 Locust Street
Philadelphia, PA 19107-5507
Phone
(215) 440-8681
Fax
(215) 440-9953
NPI assigned
May 22, 2006
Last updated
Jan 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Eileen Testa
Title
Practice Administrator
Phone
(215) 440-8681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

805 Locust Street
Philadelphia, PA 19107-5507

Mailing address

805 Locust Street
Philadelphia, PA 19107-5507
Phone (215) 440-8681

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040707001329 PA Part B Supplier - Clinic/Group Practice 5799763702 Receives reassigned benefits from 24 practitioners
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

211 S 9th St
#401
Philadelphia, PA 19107
Phone (215) 440-8681

805 Locust St
Philadelphia, PA 19107
Phone (215) 440-8681

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACJBAA

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1598719627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 LOCUST STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075507",
            "telephone_number": "215-440-8681",
            "fax_number": "215-440-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 LOCUST STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075507",
            "telephone_number": "215-440-8681",
            "fax_number": "215-440-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINTH STREET INTERNAL MEDICINE ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "TESTA",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "215-440-8681"
    },
    "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 Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.