Organization Active NPI

Greater Philadelphia Asian Social Service Center

  • Addiction (Substance Use Disorder) Counselor
  • Philadelphia, PA
National Provider Identifier
1740302124
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
807367 Issued in PA
Legal business name
GREATER PHILADELPHIA ASIAN SOCIAL SERVICE CENTER
Practice address
4943 N 5TH St
Philadelphia, PA 19120-3809
Phone
(215) 456-1662
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Authorized official

Name
Mrs. Eunyoun Kim
Title
Program Director
Phone
(215) 456-1662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 807367 PA Primary

Addresses

Primary practice location

4943 N 5TH St
Philadelphia, PA 19120-3809

Mailing address

4943 N 5TH St
Philadelphia, PA 19120-3809
Phone (215) 456-1662

National Provider Directory

National Provider Directory

Locations

4943 N 5th St
Philadelphia, PA 19120
Phone (215) 456-1662

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1740302124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4943 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191203809",
            "telephone_number": "215-456-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4943 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191203809",
            "telephone_number": "215-456-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER PHILADELPHIA ASIAN SOCIAL SERVICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "EUNYOUN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "215-456-1662",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "807367",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 4, 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.

Verify at the official NPI Registry.