Active NPI
Patrick J Lenahen, M.D.
- Urology Physician
- Philadelphia, PA
National Provider Identifier
1679548986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD033940E
- Practice address
- 5735 Ridge Ave
Suite 206
Philadelphia, PA 19128-1745 - Phone
- (215) 482-1141
- Fax
- (215) 482-9758
- NPI assigned
- Feb 21, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD033940E | PA | Primary |
| Specialist | 174400000X | MD033940E | PA |
Addresses
Primary practice location
5735 Ridge Ave
Suite 206
Philadelphia, PA 19128-1745
Mailing address
5735 Ridge Ave
Suite 206
Philadelphia, PA 19128-1745
Phone (215) 482-1141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01247521 | 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
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physician Services, PC | Urology | Past | Accepting new patients |
| Alliance Physician Services, PC | Urology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Urology Physician
- Paoli, PA
- NPI 1952829350
-
- Urology Physician
- Raleigh, NC
- NPI 1639963531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306800000000",
"number": "1679548986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5735 RIDGE AVE",
"address_2": "SUITE 206",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191281745",
"telephone_number": "215-482-1141",
"fax_number": "215-482-9758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5735 RIDGE AVE",
"address_2": "SUITE 206",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191281745",
"telephone_number": "215-482-1141",
"fax_number": "215-482-9758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENAHEN",
"first_name": "PATRICK",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2011-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "MD033940E",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "MD033940E",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01247521",
"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 May 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.