Mnap Multipsecialty Group

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD422515 Issued in PA

Legal business name

MNAP MULTIPSECIALTY GROUP

Doing business as

MNAP Diagnostic Center

Practice address

9908 Roosevelt Blvd
Philadelphia, PA 19115-1705

Phone

(215) 673-9260

Fax

(215) 673-9254

NPI assigned

May 14, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Regina Leyman

Title

Office Manager

Phone

(215) 673-9260

Specialties & licenses 6

Addresses

Other identifiers 3

Other names 1

• MNAP Diagnostic Center Doing business as

Tax ID family

Mnap Diagnostic Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mnap Medical Solutions

  dba MNAP Diagnostic Center

  • Sleep Specialist (PhD)
  • Philadelphia, PA
  • NPI 1588826614
  NPD tax ID

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273795200000",
    "number": "1710205745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9908 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151705",
            "telephone_number": "215-673-9260",
            "fax_number": "215-673-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9908 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151705",
            "telephone_number": "215-673-9260",
            "fax_number": "215-673-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MNAP MULTIPSECIALTY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-14",
        "last_updated": "2010-05-14",
        "status": "A",
        "authorized_official_last_name": "LEYMAN",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-673-9260",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "173F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Sleep Specialist, PhD",
            "state": "PA",
            "license": "MD048245L",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD422515",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD018061E",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD024403E",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD432721",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD029547E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019492480001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2324240000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1646499",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MNAP Diagnostic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mnap Diagnostic Imaging LLC
• Mnap Diagnostic Imaging, LLC
• Mnap Medical Solutions (MNAP Diagnostic Center)
• Mnap Medical Solutions, Inc (MNAP Oncology Center)
• Mnap Medical Solutions, Inc. (MNAP Diagnostic Center and MNAP Oncology Center)
• George Mo, MD
• Hyejin Mo
• Daniel Moadel, MD
• Kaelo Sabelo Moahi, MD
• Refilwe M Moahi

• Specialist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.