Individual provider Active NPI

Eric Robert Tecce

  • Student in an Organized Health Care Education/Training Program
  • Philadelphia, PA
National Provider Identifier
1700639663
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
925 Chestnut St FL 5
Philadelphia, PA 19107-4206
Phone
(267) 339-3738
Fax
(267) 339-3500
NPI assigned
Apr 10, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

925 Chestnut St FL 5
Philadelphia, PA 19107-4206

Mailing address

925 Chestnut St FL 5
Philadelphia, PA 19107-4206
Phone (267) 339-3738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240626001594 PA Order and Referring Only - Orthopedic SurgeryPractitioner - Orthopedic Surgery 2860936333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1700639663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 CHESTNUT ST FL 5",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074206",
            "telephone_number": "267-339-3738",
            "fax_number": "267-339-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 CHESTNUT ST FL 5",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074206",
            "telephone_number": "267-339-3738",
            "fax_number": "267-339-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TECCE",
        "first_name": "ERIC",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.