Penn Medical Associates PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PENN MEDICAL ASSOCIATES PC

Doing business as

Philadelphia Pulsewave

Practice address

1608 Walnut St.
Suite 1701a
Philadelphia, PA 19103-5415

Phone

(516) 287-1120

NPI assigned

Jun 3, 2022

Organization subpart

Yes

Parent organization

PENN MEDICAL ASSOCIATES PCAs reported in NPPES

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

Authorized official

Name

Dr. Raffi Barsoumian, MD

Title

Ceo

Phone

(215) 874-7006

Specialties & licenses 1

Addresses

Other names 1

• Philadelphia Pulsewave Doing business as

Electronic endpoints 1

Part of

Penn Medical Associates PC

Locations

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1720727027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 ORANGEBURGH RD",
            "city": "RIVER VALE",
            "state": "NJ",
            "postal_code": "076756404",
            "telephone_number": "516-287-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 WALNUT ST.",
            "address_2": "SUITE 1701A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035415",
            "telephone_number": "516-287-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN MEDICAL ASSOCIATES PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENN MEDICAL ASSOCIATES PC",
        "enumeration_date": "2022-06-03",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "BARSOUMIAN",
        "authorized_official_first_name": "RAFFI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-874-7006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmapenn@protonmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1608 Walnut St.",
            "address_2": "Suite 1701A",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191035415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Philadelphia Pulsewave",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Penn Executive Diagnostic Center, Inc.
• Penn Executive Diagnostic Center, Inc.
• Penn Hope Transport Inc
• Penn House Homecare LLC
• Penn Integrative Medical and Dental Center, Inc.
• Penn Medicine CCP
• Penn Neuromuscular Diagnostics, LLC (PNDx)
• Penn Presbyterian Medical Center
• Penn Presbyterian Medical Center
• Penn Presbyterian Medical Center of the University of Pennsylvania Hea (Penn Presbyterian Apothecary)

• General Practice Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.