Organization Active NPI

Rosenthal Family Center

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1770805566
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROSENTHAL FAMILY CENTER
Practice address
3720 Spruce St
Philadelphia, PA 19104-4115
Phone
(215) 677-7890
NPI assigned
Feb 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Authorized official

Name
Leroy Dixon
Title
President
Phone
(215) 677-7890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3720 Spruce St
Philadelphia, PA 19104-4115

Mailing address

3720 Spruce St
Philadelphia, PA 19104-4115
Phone (215) 677-7890

National Provider Directory

National Provider Directory

Locations

3720 Spruce St
Philadelphia, PA 19104
Phone (215) 677-7890

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1770805566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044115",
            "telephone_number": "215-677-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044115",
            "telephone_number": "215-677-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSENTHAL FAMILY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "LEROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-677-7890"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-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 19, 2010; 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.