Active NPI
Pulmonary Diease Association
- Pulmonary Disease Physician
- Philadelphia, PA
National Provider Identifier
1740383355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- PULMONARY DIEASE ASSOCIATION
- Practice address
- 1726 S Broad St
Ste 103
Philadelphia, PA 19145 - Phone
- (215) 463-5008
- Fax
- (215) 463-4223
- NPI assigned
- Sep 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marilyn Slinka
- Title
- Office Manager
- Phone
- (215) 463-5008
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
1726 S Broad St
Ste 103
Philadelphia, PA 19145
Mailing address
1726 S Broad St
Ste 103
Philadelphia, PA 19145
Phone (215) 463-5008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0667535 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354060800000",
"number": "1740383355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1726 S BROAD ST",
"address_2": "STE 103",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19145",
"telephone_number": "215-463-5008",
"fax_number": "215-463-4223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1726 S BROAD ST",
"address_2": "STE 103",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19145",
"telephone_number": "215-463-5008",
"fax_number": "215-463-4223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PULMONARY DIEASE ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-07",
"last_updated": "2012-11-28",
"status": "A",
"authorized_official_last_name": "SLINKA",
"authorized_official_first_name": "MARILYN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "215-463-5008"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0667535",
"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 Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.