Active NPI
University of Pennsylvania Medical Group
- Cardiovascular Disease Physician
- Phila, PA
National Provider Identifier
1699640433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- UNIVERSITY OF PENNSYLVANIA MEDICAL GROUP
- Practice address
- 3400 Spruce St
Phila, PA 19104-4238 - Phone
- (215) 829-5064
- Fax
- (215) 829-3081
- NPI assigned
- Oct 10, 2025
- 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
- Ms. Barbara Martin, SUPERVISOR FINANCIAL
- Title
- Supervisor
- Phone
- (445) 258-6376
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
3400 Spruce St
Phila, PA 19104-4238
Mailing address
1500 Market St
Phila, PA 19102-2100
Phone (215) 829-5064
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760054400000",
"number": "1699640433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 MARKET ST",
"city": "PHILA",
"state": "PA",
"postal_code": "191022100",
"telephone_number": "215-829-5064",
"fax_number": "215-829-3081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 SPRUCE ST",
"city": "PHILA",
"state": "PA",
"postal_code": "191044238",
"telephone_number": "215-829-5064",
"fax_number": "215-829-3081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OF PENNSYLVANIA MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-10",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "BARBARA",
"authorized_official_title_or_position": "SUPERVISOR",
"authorized_official_telephone_number": "445-258-6376",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "SUPERVISOR FINANCIAL"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phila, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.