Home MD PC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HOME MD PC

Practice address

3510 Sunset Way
Huntingdon Valley, PA 19006-7749

Phone

(215) 808-0089

NPI assigned

Apr 4, 2017

Organization subpart

No

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

Authorized official

Name

Yevgeniya Mazur

Title

Manager

Phone

(215) 808-0089

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1629501960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 SUNSET WAY",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190067749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 SUNSET WAY",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190067749",
            "telephone_number": "215-808-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "MAZUR",
        "authorized_official_first_name": "YEVGENIYA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "215-808-0089"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.