Safiyya Abdul-Ghani, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA053979 Issued in PA

Practice address

450 Cresson Blvd
Suite 110
Oaks, PA 19456

Phone

(610) 728-6100

NPI assigned

Jan 6, 2010

Last updated

Apr 6, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333670400000",
    "number": "1689904161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CRESSON BLVD",
            "address_2": "ST 110",
            "city": "OAKS",
            "state": "PA",
            "postal_code": "19456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CRESSON BLVD",
            "address_2": "SUITE 110",
            "city": "OAKS",
            "state": "PA",
            "postal_code": "19456",
            "telephone_number": "610-728-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDUL-GHANI",
        "first_name": "SAFIYYA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-06",
        "last_updated": "2012-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Oaks, PA
• Providers in Oaks, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.