Active NPI
Barry G. Magen, M.D.
- General Practice Physician
- Phila, PA
National Provider Identifier
1730457417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD059830L
- Practice address
- 840A S American St
Phila, PA 19147-3331 - Phone
- (484) 683-1746
- NPI assigned
- Dec 8, 2011
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD059830L | PA | Primary |
Addresses
Primary practice location
840A S American St
Phila, PA 19147-3331
Mailing address
840A S. American St.
Phila., PA 19147
Phone (484) 683-1746
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD059830L | Other | PA | PA LICENSE NUMBER |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD059830L | PA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323302400000",
"number": "1730457417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840A S. AMERICAN ST.",
"city": "PHILA.",
"state": "PA",
"postal_code": "19147",
"telephone_number": "484-683-1746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840A S AMERICAN ST",
"city": "PHILA",
"state": "PA",
"postal_code": "191473331",
"telephone_number": "484-683-1746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGEN",
"first_name": "BARRY",
"middle_name": "G.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-08",
"last_updated": "2011-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PA",
"license": "MD059830L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE NUMBER",
"identifier": "MD059830L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phila, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.