Active NPI
Nazareth Physician Services
Doing business as Nazareth Physician Services Multi Specialty
- Cardiovascular Disease Physician
- Phila, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- 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, 2018
- 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
- Amiee Brennan
- Title
- Credentialing Supervisor
- Phone
- (610) 567-6964
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Nazareth Physician Services Inc
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Mercy Cardiology at Nazareth
- Cardiovascular Disease Physician
- Philadelphia, PA
- NPI 1255686150
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1891434486
-
dba NPS Orthopedic Group
- Orthopaedic Surgery Physician
- Philadelphia, PA
- NPI 1447671243
-
dba Nazareth Physician Services, Inc.
- Wound Care Registered Nurse
- Philadelphia, PA
- NPI 1003072166
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.