Organization Active NPI

Chester County Infectious Diseases, LLC

  • Infectious Disease Physician
  • West Chester, PA
National Provider Identifier
1730433186
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
CHESTER COUNTY INFECTIOUS DISEASES, LLC
Practice address
520 Maple Ave
Suite 4
West Chester, PA 19380-4434
Phone
(610) 430-8200
Fax
(610) 350-3099
NPI assigned
Nov 7, 2012
Last updated
Nov 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
Nasrin Golshan, M.D.NPI 1821169236
Title
Physician
Phone
(610) 430-8200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

520 Maple Ave
Suite 4
West Chester, PA 19380-4434

Mailing address

PO Box 1520
Exton, PA 19341-0110
Phone (610) 594-7590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121231000116 PA Part B Supplier - Clinic/Group Practice 4183877012 Receives reassigned benefits from 1 practitioner
Practice locations: West Chester, PA

National Provider Directory

National Provider Directory

Locations

520 Maple Ave
Ste 3
West Chester, PA 19380
Phone (484) 364-2824

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1730433186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1520",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193410110",
            "telephone_number": "610-594-7590",
            "fax_number": "610-594-7597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MAPLE AVE",
            "address_2": "SUITE 4",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804434",
            "telephone_number": "610-430-8200",
            "fax_number": "610-350-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER COUNTY INFECTIOUS DISEASES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "GOLSHAN",
        "authorized_official_first_name": "NASRIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "610-430-8200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.