Organization Active NPI

Lavida Medical Center

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1760721559
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LAVIDA MEDICAL CENTER
Practice address
145 E Lehigh Ave
Philadelphia, PA 19125-1011
Phone
(267) 939-1490
Fax
(215) 425-9522
NPI assigned
Feb 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Engin Celik
Title
Owner
Phone
(267) 939-1490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

145 E Lehigh Ave
Philadelphia, PA 19125-1011

Mailing address

145 E Lehigh Ave
Philadelphia, PA 19125-1011
Phone (267) 939-1490

National Provider Directory

National Provider Directory

Locations

145 E Lehigh Ave
Philadelphia, PA 19125
Phone (267) 939-1490

NPI Registry JSON

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1760721559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 E LEHIGH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191251011",
            "telephone_number": "267-939-1490",
            "fax_number": "215-425-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E LEHIGH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191251011",
            "telephone_number": "267-939-1490",
            "fax_number": "215-425-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVIDA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-13",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "CELIK",
        "authorized_official_first_name": "ENGIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-939-1490"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Feb 13, 2013; 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.