Ima Professional Services of PA, PC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

IMA PROFESSIONAL SERVICES OF PA, PC

Practice address

1930 S Broad St
Suite 11
Philadelphia, PA 19145-2328

Phone

(267) 758-2460

NPI assigned

May 14, 2015

Organization subpart

No

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

Authorized official

Name

David C Pulver

Title

President

Phone

(914) 323-0307

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Anna Maria Ries, P.A.

  • Physician Assistant
  • Philadelphia, PA
  • NPI 1902141104
  NPD (past)
• Angela Smith, CRNP

  • Family Nurse Practitioner
  • Philadelphia, PA
  • NPI 1831761535
  NPD (past)

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1740668409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 WHITE PLAINS RD",
            "address_2": "SUITE 630",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915139",
            "telephone_number": "914-323-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S BROAD ST",
            "address_2": "SUITE 11",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452328",
            "telephone_number": "267-758-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMA PROFESSIONAL SERVICES OF PA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "PULVER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-323-0307"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sahrish Ilyas, M.D.
• Eun Kyung Im, M.D.
• Eun Pyung Philip Im, PHARM.D.
• Jennifer Im, MD
• Subin Im
• Image Guided Surgery Associates, PC
• Imagine Medical Group, PA
• Imaging Professionals of Pennsylvania PC
• Imaging Professionals of Pennsylvania PC
• Imaging Professionals of Pennsylvania PC

• Case Manager/Care Coordinator in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Case Manager/Care Coordinator in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.