Individual provider Active NPI

Alla Fishman, DO

  • Obstetrics & Gynecology Physician
  • Huntingdon Valley, PA
National Provider Identifier
1710967716
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS012044 Issued in PA
Practice address
1904 County Line Road
Huntingdon Valley, PA 19006-1738
Phone
(215) 322-3022
Fax
(215) 355-9155
NPI assigned
Jan 18, 2006
Last updated
Jan 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OS012044 PA
Obstetrics & Gynecology Physician 207V00000X OS012044 PA Primary

Addresses

Primary practice location

1904 County Line Road
Huntingdon Valley, PA 19006-1738

Mailing address

1904 County Line Road
Huntingdon Valley, PA 19006-1738
Phone (215) 322-3022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS012044PAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Health and Maternity Services, Inc Specialist Past Accepting new patients
Bucks County Women's Healthcare, Inc Specialist PastSince Jul 1, 2003 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1710967716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 COUNTY LINE ROAD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061738",
            "telephone_number": "215-322-3022",
            "fax_number": "215-355-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 COUNTY LINE ROAD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061738",
            "telephone_number": "215-322-3022",
            "fax_number": "215-355-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHMAN",
        "first_name": "ALLA",
        "name_prefix": "Ms.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "OS012044",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS012044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.