Active NPI
Aria Health Physician Services -Otolaryngology
- Otolaryngology Physician
- Philadelphia, PA
National Provider Identifier
1598800518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- ARIA HEALTH PHYSICIAN SERVICES -OTOLARYNGOLOGY
- Practice address
- 3998 Red Lion Rd Ste 211
Philadelphia, PA 19114-1440 - Phone
- (215) 612-5390
- Fax
- (215) 612-5658
- NPI assigned
- Feb 20, 2007
- 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
- Ronald Kumor
- Title
- Senior Vice President
- Phone
- (215) 612-4858
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
3998 Red Lion Rd Ste 211
Philadelphia, PA 19114-1440
Mailing address
PO Box 825395
Philadelphia, PA 19182-5395
Phone (215) 807-8000
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007526250039 | Medicaid | PA | |
| 1007526250041 | Medicaid | PA | |
| CC4831 | Other | PA | RAILROAD MEDICARE |
| 2952901 | Other | PA | AETNA HMO |
| 2620890000 | Other | PA | KEYSTONE IBC |
| 30027496 | Other | PA | KEYSTONE MERCY |
| 1783156 | Other | PA | HIGHMARK BLUE SHIELD |
| 4360702 | Other | PA | AETNA PPO |
| 1783156 | Other | PA | PERSONAL CHOICE |
| 1007526250051 | Medicaid | PA | |
| 36045 | Other | PA | HEALTH PARTNERS |
Other names 1
- Northeast ENT at Torresdale
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Medford, NJ
- NPI 1225270978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665532800000",
"number": "1598800518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 825395",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191825395",
"telephone_number": "215-807-8000",
"fax_number": "215-612-5658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3998 RED LION RD STE 211",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191141440",
"telephone_number": "215-612-5390",
"fax_number": "215-612-5658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARIA HEALTH PHYSICIAN SERVICES -OTOLARYNGOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A",
"authorized_official_last_name": "KUMOR",
"authorized_official_first_name": "RONALD",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
"authorized_official_telephone_number": "215-612-4858"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007526250039",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007526250041",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CC4831",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2952901",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE IBC",
"identifier": "2620890000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "30027496",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1783156",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4360702",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "1783156",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007526250051",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "36045",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Northeast ENT at Torresdale",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Philadelphia, PA
- Aria Health Physician Services - Aria Orthopedics
- Aria Health Physician Services - Cardiology
- Aria Health Physician Services - Juniata
- Aria Health Physician Services - Pathology
- Aria Health Physician Services - Trauma
- Aria Health Physician Services Physical Medicine & Rehab
- Aria Health Physician Services-GYN
- Aria Health Physician Services-Surgery
- Aria Health Physicians Services - Emergency Medicine
- Aria Health Provider Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.