Organization Active NPI

Newcourtland Primary Care

  • Primary Care Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1811375884
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
NEWCOURTLAND PRIMARY CARE
Practice address
6950 Germantown Ave
Philadelphia, PA 19119-2120
Phone
(215) 951-4304
Fax
(215) 951-7723
NPI assigned
May 11, 2015
Last updated
May 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Mr. Michael Demarco
Title
Asst. VP of Finance
Phone
(215) 951-4242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

6950 Germantown Ave
Philadelphia, PA 19119-2120

Mailing address

6950 Germantown Ave
Philadelphia, PA 19119-2120
Phone (215) 951-4304

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1811375884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192120",
            "telephone_number": "215-951-4304",
            "fax_number": "215-951-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192120",
            "telephone_number": "215-951-4304",
            "fax_number": "215-951-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWCOURTLAND PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "DEMARCO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ASST. VP OF FINANCE",
        "authorized_official_telephone_number": "215-951-4242",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "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 May 11, 2015; 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.