NPIMap

Organization Active NPI

Pennsylvania Medical Professionals, PC

Doing business as Chestnut Hill Family Care Associates

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1811943905
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PENNSYLVANIA MEDICAL PROFESSIONALS, PC
Doing business as
Chestnut Hill Family Care Associates
Practice address
33 E Chestnut Hill Ave
Suite 203
Philadelphia, PA 19118-2713
Phone
(215) 753-9080
Fax
(215) 753-8830
NPI assigned
May 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gary Newsome
Title
Senior VP
Phone
(215) 753-9080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

33 E Chestnut Hill Ave
Suite 203
Philadelphia, PA 19118-2713

Mailing address

33 E Chestnut Hill Ave
Suite 203
Philadelphia, PA 19118-2713
Phone (215) 753-9080

Other names 1

  • Chestnut Hill Family Care Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pennsylvania Medical Professionals PC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811943905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 E CHESTNUT HILL AVE",
            "address_2": "SUITE 203",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182713",
            "telephone_number": "215-753-9080",
            "fax_number": "215-753-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 E CHESTNUT HILL AVE",
            "address_2": "SUITE 203",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182713",
            "telephone_number": "215-753-9080",
            "fax_number": "215-753-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA MEDICAL PROFESSIONALS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "SENIOR VP",
        "authorized_official_telephone_number": "215-753-9080"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chestnut Hill Family Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.