Active NPI
BPS Medical of Pennsylvania, PLLC
- Internal Medicine Physician
- Philadelphia, PA
National Provider Identifier
1609315605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- BPS MEDICAL OF PENNSYLVANIA, PLLC
- Practice address
- 100 W Oxford St Ste W-1200
Philadelphia, PA 19122-3927 - Phone
- (267) 800-1009
- Fax
- (267) 800-1869
- NPI assigned
- Feb 23, 2017
- 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
- Dr. Jessica Son, MD
- Title
- Director
- Phone
- (267) 800-1009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
100 W Oxford St Ste W-1200
Philadelphia, PA 19122-3927
Mailing address
4300 Haddonfield Rd
Pennsauken, NJ 08109-3376
Phone (973) 909-5159
Other names 1
- BAYADA House Calls
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.
-
- Medical-Surgical Clinical Nurse Specialist
- Woodbury, NJ
- NPI 1952875056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652400000000",
"number": "1609315605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 HADDONFIELD RD",
"city": "PENNSAUKEN",
"state": "NJ",
"postal_code": "081093376",
"telephone_number": "973-909-5159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W OXFORD ST STE W-1200",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191223927",
"telephone_number": "267-800-1009",
"fax_number": "267-800-1869"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BPS MEDICAL OF PENNSYLVANIA, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-23",
"last_updated": "2022-05-13",
"certification_date": "2022-05-13",
"status": "A",
"authorized_official_last_name": "SON",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "267-800-1009",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BAYADA House Calls",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BAYADA House Calls",
"code": "3",
"type": "Doing Business As"
}
]
}
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 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.