NPIMap

Organization Active NPI

Philadelphia Gastroenterology Group, P.C.

  • Gastroenterology Physician
  • Philadelphia, PA
National Provider Identifier
1801826177
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
PHILADELPHIA GASTROENTEROLOGY GROUP, P.C.
Practice address
525 Jamestown St
Suite 101
Philadelphia, PA 19128-1751
Phone
(215) 463-1483
Fax
(215) 483-9185
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Annamarie Andrews
Title
Office Manager
Phone
(215) 463-1483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

525 Jamestown St
Suite 101
Philadelphia, PA 19128-1751

Mailing address

525 Jamestown St
Suite 101
Philadelphia, PA 19128-1751
Phone (215) 463-1483

Other identifiers 2

IdentifierTypeStateIssuer
000893827-0001MedicaidPA
0055417MedicaidNJ

National Provider Directory

National Provider Directory

Locations

570 Egg Harbor Rd
#2
Sewell, NJ 08080

438 Ganttown Rd
Ste A2
Sewell, NJ 08080
Phone (856) 218-1410

1811 S Broad St
Philadelphia, PA 19148
Phone (215) 463-1483

525 Jamestown St
Ste 101
Philadelphia, PA 19128
Phone (215) 463-1483

207 N Broad St
Fl 5
Philadelphia, PA 19107

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1801826177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 JAMESTOWN ST",
            "address_2": "SUITE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281751",
            "telephone_number": "215-463-1483",
            "fax_number": "215-483-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 JAMESTOWN ST",
            "address_2": "SUITE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281751",
            "telephone_number": "215-463-1483",
            "fax_number": "215-483-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA GASTROENTEROLOGY GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "ANNAMARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-463-1483"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000893827-0001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0055417",
            "state": "NJ"
        }
    ],
    "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 14, 2017; 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.