Active NPI
Nazareth Physician Services, Inc.
- Gastroenterology Physician
- Philadelphia, PA
National Provider Identifier
1710447016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- NAZARETH PHYSICIAN SERVICES, INC.
- Practice address
- 1403 Rhawn St
Philadelphia, PA 19111-2803 - Phone
- (215) 728-6688
- NPI assigned
- Mar 22, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amit Powar
- Title
- President, Medical Group
- Phone
- (215) 710-6573
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
1403 Rhawn St
Philadelphia, PA 19111-2803
Mailing address
41 University Dr Ste 300
Newtown, PA 18940-1873
National Provider Directory
National Provider DirectoryLocations
1403 Rhawn St
Philadelphia, PA 19111
Phone (215) 332-8100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682985600000",
"number": "1710447016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 UNIVERSITY DR STE 300",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189401873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1403 RHAWN ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191112803",
"telephone_number": "215-728-6688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAZARETH PHYSICIAN SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-22",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A",
"authorized_official_last_name": "POWAR",
"authorized_official_first_name": "AMIT",
"authorized_official_title_or_position": "PRESIDENT, MEDICAL GROUP",
"authorized_official_telephone_number": "215-710-6573"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
- Nazareth Physician Services, Inc.
- Nazareth Physician Services, Inc.
- Nazareth Physician Services, Inc.
- Nazareth Physician Services, Inc.
- Nazareth Physician Services, Inc.
- Nazareth Physician Services, Inc.
- Nazareth Physicians Services, Inc
- Levon N. Nazarian, M.D.
- Matthew Nazarian, MD
- Saman Nazarian, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.