Organization Active NPI

Center City Personalized Care, PC

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1699647370
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CENTER CITY PERSONALIZED CARE, PC
Practice address
834 Chestnut St M202
Philadelphia, PA 19107-5147
Phone
(215) 940-9925
Fax
(215) 940-9928
NPI assigned
Sep 22, 2025
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Eileen Testa
Title
Administrator
Phone
(215) 940-3800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

834 Chestnut St M202
Philadelphia, PA 19107-5147

Mailing address

834 Chestnut St Ste M202
Philadelphia, PA 19107-5182
Phone (215) 940-9925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260210000128 PA Part B Supplier - Clinic/Group Practice 4789163890 Receives reassigned benefits from 6 practitioners
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

805 Locust St
Philadelphia, PA 19107
Phone (215) 440-8681

834 Chestnut St
Ste M202
Philadelphia, PA 19107
Phone (215) 940-9925

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1699647370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 CHESTNUT ST STE M202",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075182",
            "telephone_number": "215-940-9925",
            "fax_number": "215-940-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 CHESTNUT ST M202",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075147",
            "telephone_number": "215-940-9925",
            "fax_number": "215-940-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER CITY PERSONALIZED CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "TESTA",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-940-3800"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.