Organization Active NPI

Inessa Biniaurishvili,M.D.,P.C.

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1710210968
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD061863-L Issued in PA
Legal business name
INESSA BINIAURISHVILI,M.D.,P.C.
Practice address
11685C Bustleton Avenue
Hendrix Center
Philadelphia, PA 19116
Phone
(215) 464-7820
Fax
(215) 464-7808
NPI assigned
Sep 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

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

Authorized official

Name
Dr. Inessa G. Biniaurishvili, M.D.
Title
Ceo
Phone
(215) 464-7820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD061863-L PA Primary

Addresses

Primary practice location

11685C Bustleton Avenue
Hendrix Center
Philadelphia, PA 19116

Mailing address

26 Leemar Dr
Southampton, PA 18966-1114
Phone (215) 942-0234

Other identifiers 1

IdentifierTypeStateIssuer
0016575930004MedicaidPA

National Provider Directory

National Provider Directory

Locations

11685 Bustleton Ave
#C
Philadelphia, PA 19116
Phone (215) 464-7820

NPI Registry JSON

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1710210968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 LEEMAR DR",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189661114",
            "telephone_number": "215-942-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11685C BUSTLETON AVENUE",
            "address_2": "HENDRIX CENTER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19116",
            "telephone_number": "215-464-7820",
            "fax_number": "215-464-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INESSA BINIAURISHVILI,M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-04",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "BINIAURISHVILI",
        "authorized_official_first_name": "INESSA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-464-7820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD061863-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016575930004",
            "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 Sep 4, 2009; 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.