Individual provider Active NPI

Aviva Zohar, MD

  • Addiction Medicine (Family Medicine) Physician
  • Narberth, PA
National Provider Identifier
1710109608
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
MD438613 Issued in PA
Practice address
822 Montgomery Ave
Suite 314
Narberth, PA 19072
Phone
(610) 455-4254
Fax
(610) 455-4254
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X MD438613 PA Primary

Addresses

Primary practice location

822 Montgomery Ave
Suite 314
Narberth, PA 19072

Mailing address

822 Montgomery Ave
Suite 314
Narberth, PA 19072
Phone (215) 879-6116

Other names 1

  • Aviva Fohrer Former name

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
I20091202000531 PA Practitioner - Family Practice 7012056179 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Merakey Delaware County CurrentSince Jan 24, 2013 Accepting new patients
Merakey Delaware County Current Accepting new patients
Merakey Delaware County CurrentSince Jan 24, 2013 Accepting new patients
Aviva, LLC Addiction Medicine CurrentSince Feb 4, 2024 Accepting new patients

Locations

620 Germantown Pike
Lafayette Hl, PA 19444
Phone (313) 278-2327

822 Montgomery Ave
Ste 314
Narberth, PA 19072
Phone (215) 844-1995

800 Chester Pike
Sharon Hill, PA 19079
Phone (610) 534-3636

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1710109608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 MONTGOMERY AVE",
            "address_2": "SUITE 314",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "19072",
            "telephone_number": "215-879-6116",
            "fax_number": "215-477-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 MONTGOMERY AVE",
            "address_2": "SUITE 314",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "19072",
            "telephone_number": "610-455-4254",
            "fax_number": "610-455-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOHAR",
        "first_name": "AVIVA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "PA",
            "license": "MD438613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVIVA",
            "last_name": "FOHRER",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Narberth, PA

Sources for this page

Verify at the official NPI Registry.