Individual provider Active NPI

Allen Jay Schwalb, MD

  • Anesthesiology Physician
  • Philadelphia, PA
National Provider Identifier
1629075148
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD018098E Issued in PA
Practice address
520 S 19TH St
Ste 1B
Philadelphia, PA 19146-1449
Phone
(215) 545-4173
Fax
(215) 545-1543
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD018098E PA Primary

Addresses

Primary practice location

520 S 19TH St
Ste 1B
Philadelphia, PA 19146-1449

Mailing address

520 S 19TH St
Ste 1B
Philadelphia, PA 19146-1449
Phone (215) 545-4173

Other identifiers 3

IdentifierTypeStateIssuer
0006293890004MedicaidPA
0667501MedicaidNJ
SC104085OtherPAPA BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD018098EPAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rittenhouse Anesthesia Associates, LTD. Anesthesiology Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1629075148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S 19TH ST",
            "address_2": "STE 1B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461449",
            "telephone_number": "215-545-4173",
            "fax_number": "215-545-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S 19TH ST",
            "address_2": "STE 1B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461449",
            "telephone_number": "215-545-4173",
            "fax_number": "215-545-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWALB",
        "first_name": "ALLEN",
        "middle_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD018098E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006293890004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0667501",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "SC104085",
            "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 Jul 10, 2012; 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.