Organization Active NPI

Nazareth Physician Services

Doing business as Nazareth Physician Services Multi Specialty

  • Cardiovascular Disease Physician
  • Phila, PA
National Provider Identifier
1619492394
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
NAZARETH PHYSICIAN SERVICES
Doing business as
Nazareth Physician Services Multi Specialty
Practice address
2701 Holme Ave Ofc Building
Phila, PA 19152-2029
Phone
(215) 335-3972
Fax
(215) 335-3784
NPI assigned
Aug 3, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Amiee Brennan
Title
Credentialing Supervisor
Phone
(610) 567-6964

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary
Medical Oncology Physician 207RX0202X NU
Obstetrics & Gynecology Physician 207V00000X NU
Gynecology Physician 207VG0400X NU
Surgery Physician 208600000X NU
Vascular Surgery Physician 2086S0129X NU
Urology Physician 208800000X NU

Addresses

Primary practice location

2701 Holme Ave Ofc Building
Phila, PA 19152-2029

Mailing address

1 W Elm St
Conshohocken, PA 19428-4108
Phone (610) 567-6964

Other practice location 1

2601 Holme Ave
Philadelphia, PA 19152-2007
Phone (215) 335-6141

Other practice location 2

2701 Holme Ave Ste 305
Philadelphia, PA 19152-2029
Phone (215) 333-4894

Other practice location 3

2701 Holme Ave Ste 101
Philadelphia, PA 19152-2029
Phone (215) 674-0301

Other practice location 4

2701 Holme Ave Ste 104
Philadelphia, PA 19152-2029
Phone (215) 331-8897

Other practice location 5

2701 Holme Ave Ste 302
Phila, PA 19152-2029
Phone (215) 624-8138

Other names 1

  • Nazareth Physician Services Multi Specialty Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nazareth Physician Services Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2701 Holme Ave
Ofc
Phila, PA 19152
Phone (215) 335-3972

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1619492394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W ELM ST",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194284108",
            "telephone_number": "610-567-6964",
            "fax_number": "610-567-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 HOLME AVE OFC BUILDING",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191522029",
            "telephone_number": "215-335-3972",
            "fax_number": "215-335-3784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Holme Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191522007",
            "country_code": "US",
            "telephone_number": "215-335-6141",
            "fax_number": "215-335-1507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2701 Holme Ave Ste 305",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191522029",
            "country_code": "US",
            "telephone_number": "215-333-4894",
            "fax_number": "215-334-4896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2701 Holme Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191522029",
            "country_code": "US",
            "telephone_number": "215-674-0301",
            "fax_number": "215-335-9466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2701 Holme Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191522029",
            "country_code": "US",
            "telephone_number": "215-331-8897",
            "fax_number": "215-331-2044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2701 Holme Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Phila",
            "state": "PA",
            "postal_code": "191522029",
            "country_code": "US",
            "telephone_number": "215-624-8138",
            "fax_number": "215-624-8257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NAZARETH PHYSICIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "AMIEE",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "610-567-6964"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nazareth Physician Services Multi Specialty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.