Organization Active NPI

Pim Associates PC

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1609882984
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PIM ASSOCIATES PC
Practice address
709 S. Fifth Street
Philadelphia, PA 19147
Phone
(215) 925-6633
Fax
(215) 925-7428
NPI assigned
Jul 31, 2006
Last updated
Mar 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Authorized official

Name
Richard Jay Leavitt, DO
Title
Partner/Physician
Phone
(215) 535-5522

Specialties & licenses 1

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

Addresses

Primary practice location

709 S. Fifth Street
Philadelphia, PA 19147

Mailing address

709 S. Fifth Street
Philadelphia, PA 19147
Phone (215) 925-6633

Other identifiers 1

IdentifierTypeStateIssuer
001627988MedicaidPA

National Provider Directory

National Provider Directory

Locations

589 Skippack Pike
Ste 308
Blue Bell, PA 19422
Phone (215) 542-4343

201 Old York Rd
Ste 205
Jenkintown, PA 19046
Phone (215) 884-0313

6400 Roosevelt Blvd
Phila, PA 19149
Phone (215) 925-6633

6404 Roosevelt Blvd
Ste 1A
Philadelphia, PA 19149
Phone (215) 535-5522

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1609882984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 S. FIFTH STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19147",
            "telephone_number": "215-925-6633",
            "fax_number": "215-925-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 S. FIFTH STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19147",
            "telephone_number": "215-925-6633",
            "fax_number": "215-925-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIM ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "LEAVITT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PARTNER/PHYSICIAN",
        "authorized_official_telephone_number": "215-535-5522",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001627988",
            "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 Mar 2, 2011; 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.