Mercy Management of Southeastern Pennsylvani

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANI

Practice address

5901 Market St
Philadelphia, PA 19139-3117

Phone

(413) 262-6762

Fax

(610) 567-5495

NPI assigned

Jul 23, 2019

Organization subpart

Yes

Parent organization

MERCY ACCOUNTABLE CARE, LLCAs reported in NPPES

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

Authorized official

Name

John Caruso

Title

President

Phone

(215) 710-2651

Specialties & licenses 1

Addresses

Other names 1

• Mercy Senior Health - West Philadelphia Other name

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1689227209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 UNIVERSITY DR STE 106",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 MARKET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393117",
            "telephone_number": "413-262-6762",
            "fax_number": "610-567-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY ACCOUNTABLE CARE, LLC",
        "enumeration_date": "2019-07-23",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "CARUSO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-710-2651"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Senior Health - West Philadelphia",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mercy Management of Sepa
• Mercy Management of Sepa
• Mercy Management of Sepa
• Mercy Management of Sepa
• Mercy Management of Southeastern Pennsylvani
• Mercy Management of Southeastern Pennsylvania
• Mercy Management of Southeastern Pennsylvania
• Mercy Management of Southeastern Pennsylvania
• Mercy Management of Southeastern Pennsylvania
• Mercy Management of Southeastern Pennsylvania

• Internal Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.