Organization Active NPI

Altschuler-Gelfand-Benjamin, Assoc., LTD

  • Specialist
  • Philadelphia, PA
National Provider Identifier
1699889824
Registry record updated Jun 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ALTSCHULER-GELFAND-BENJAMIN, ASSOC., LTD
Practice address
9501 Roosevelt Blvd
Suite 208
Philadelphia, PA 19114-1027
Phone
(215) 969-2300
Fax
(215) 969-2327
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2017

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

Authorized official

Name
Dr. Stanley L. Altschuler, M.D.
Title
President
Phone
(215) 969-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

9501 Roosevelt Blvd
Suite 208
Philadelphia, PA 19114-1027

Mailing address

9501 Roosevelt Blvd
Suite 208
Philadelphia, PA 19114-1027
Phone (215) 969-2300

Other identifiers 2

IdentifierTypeStateIssuer
0065765MedicaidNJ
0010623110007MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496620800000",
    "number": "1699889824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 ROOSEVELT BLVD",
            "address_2": "SUITE 208",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141027",
            "telephone_number": "215-969-2300",
            "fax_number": "215-969-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 ROOSEVELT BLVD",
            "address_2": "SUITE 208",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141027",
            "telephone_number": "215-969-2300",
            "fax_number": "215-969-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTSCHULER-GELFAND-BENJAMIN, ASSOC., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2017-06-05",
        "status": "A",
        "authorized_official_last_name": "ALTSCHULER",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-969-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0065765",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010623110007",
            "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 5, 2017; 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.