Advanced Family Medicine PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

OS010564L Issued in PA

Legal business name

ADVANCED FAMILY MEDICINE PC

Practice address

14200 Bustleton Ave
Suite 4
Philadelphia, PA 19116-1186

Phone

(215) 671-0900

Fax

(215) 671-8114

NPI assigned

Aug 31, 2007

Last updated

Jun 6, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alexander Tarnopolsky, DONPI 1154541027

Title

Physician

Phone

(267) 242-7993

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexander Tarnopolsky, D.O.

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1154541027
  Medicare reassignment Care Compare group NPD Authorized official
• Boben Babu, PT, DPT

  • Orthopedic Physical Therapist
  • Telford, PA
  • NPI 1679025548
  Medicare reassignment Care Compare group NPD
• Dmitry Ulend, NP

  • Nurse Practitioner
  • Philadelphia, PA
  • NPI 1306344718
  Medicare reassignment NPD
• Natalia Beliavsky, PT

  • Specialist
  • Philadelphia, PA
  • NPI 1437365053
  NPD (past)
• Bettylynne Blackman

  • Physical Therapist
  • Plymouth Meeting, PA
  • NPI 1245567221
  NPD (past)
• Angelica Giverts

  • Chiropractor
  • Huntingdon Valley, PA
  • NPI 1588856108
  NPD (past)
• Steven Ehrlich, LPT

  • Physical Therapist
  • Bluffton, SC
  • NPI 1629116389
  NPD (past)
• Deborah Lizerbram, D.O.

  • Family Medicine Physician
  • Camden, NJ
  • NPI 1295769115
  NPD (past)

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1790979870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14200 BUSTLETON AVE",
            "address_2": "SUITE 4",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191161186",
            "telephone_number": "215-671-0900",
            "fax_number": "215-671-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14200 BUSTLETON AVE",
            "address_2": "SUITE 4",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191161186",
            "telephone_number": "215-671-0900",
            "fax_number": "215-671-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "TARNOPOLSKY",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "267-242-7993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "OS010564L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Primary Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.