Active NPI
Harvey A Soifer, DO
- Internal Medicine Physician
- Philadelphia, PA
National Provider Identifier
1710976113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS0034191
- Practice address
- 2821 Island Ave
Suite D& E
Philadelphia, PA 19153-2300 - Phone
- (215) 863-6110
- Fax
- (610) 863-6111
- NPI assigned
- Oct 18, 2005
- Last updated
- Mar 11, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS0034191 | PA | Primary |
Addresses
Primary practice location
2821 Island Ave
Suite D& E
Philadelphia, PA 19153-2300
Mailing address
1 W Elm St
2ND Floor
Conshohocken, PA 19428-2007
Phone (610) 567-6964
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007458600006 | Medicaid | PA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OS0034191 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Management of Southeastern Pennsylvania | Internal Medicine | Past | Accepting new patients |
| Eastwick Primary Care | Past | Accepting new patients | |
| Eastwick Pharmacy Care | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Ahilo, PA
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-
- Primary Care Clinic/Center
- Phila, PA
- NPI 1760580773
-
dba MMS-Mercy Medical Associates at Eastwick
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1194701292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205193600000",
"number": "1710976113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 W ELM ST",
"address_2": "2ND FLOOR",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282007",
"telephone_number": "610-567-6964",
"fax_number": "610-567-6170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 ISLAND AVE",
"address_2": "SUITE D& E",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191532300",
"telephone_number": "215-863-6110",
"fax_number": "610-863-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOIFER",
"first_name": "HARVEY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-18",
"last_updated": "2008-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS0034191",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007458600006",
"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 Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.