Active NPI
GHRS LLC
- Addiction Medicine (Internal Medicine) Physician
- Philadelphia, PA
National Provider Identifier
1699446179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- Legal business name
- GHRS LLC
- Practice address
- 3227 Kensington Ave
Philadelphia, PA 19134-1934 - Phone
- (215) 852-5016
- NPI assigned
- Sep 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Francis McCusker
- Title
- Owner
- Phone
- (215) 454-6016
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | Primary |
Addresses
Primary practice location
3227 Kensington Ave
Philadelphia, PA 19134-1934
Mailing address
4018 Westaway Dr
Lafayette Hill, PA 19444-1526
Phone (215) 852-5016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1039562800001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655078400000",
"number": "1699446179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4018 WESTAWAY DR",
"city": "LAFAYETTE HILL",
"state": "PA",
"postal_code": "194441526",
"telephone_number": "215-852-5016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3227 KENSINGTON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191341934",
"telephone_number": "215-852-5016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GHRS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-23",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A",
"authorized_official_last_name": "MCCUSKER",
"authorized_official_first_name": "FRANCIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-454-6016"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1039562800001",
"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 Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.