Active NPI
Lewis M Albert, D.P.M.
- Podiatrist
- Philadelphia, PA
National Provider Identifier
1639156201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC001596L
- Practice address
- 3939 Conshohocken Ave
Philadelphia, PA 19131-5400 - Phone
- (215) 879-7570
- NPI assigned
- Dec 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC001596L | PA | Primary |
Addresses
Primary practice location
3939 Conshohocken Ave
Philadelphia, PA 19131-5400
Mailing address
3939 Conshohocken Ave
Philadelphia, PA 19131-5400
Phone (215) 879-7570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000503233 | Medicaid | PA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC001596L | PA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nancy J Pickering | 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.
-
- Cardiovascular Disease Physician
- Philadelphia, PA
- NPI 1669563664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257120000000",
"number": "1639156201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3939 CONSHOHOCKEN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191315400",
"telephone_number": "215-879-7570",
"fax_number": "215-877-7479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 CONSHOHOCKEN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191315400",
"telephone_number": "215-879-7570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBERT",
"first_name": "LEWIS",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-27",
"last_updated": "2009-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC001596L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000503233",
"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 Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.