Individual provider Active NPI

Alison Selbst, MD

  • Pediatrics Physician
  • Elkins Park, PA
National Provider Identifier
1851363584
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD031264E Issued in PA
Practice address
1939 W Cheltenham Ave
Elkins Park, PA 19027-1046
Phone
(215) 884-5715
Fax
(215) 884-1442
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD031264E PA Primary

Addresses

Primary practice location

1939 W Cheltenham Ave
Elkins Park, PA 19027-1046

Mailing address

1939 W Cheltenham Ave
Elkins Park, PA 19027-1046
Phone (215) 884-5715

Other identifiers 1

IdentifierTypeStateIssuer
01048368MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD031264EPAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1851363584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 W CHELTENHAM AVE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271046",
            "telephone_number": "215-884-5715",
            "fax_number": "215-884-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 W CHELTENHAM AVE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271046",
            "telephone_number": "215-884-5715",
            "fax_number": "215-884-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELBST",
        "first_name": "ALISON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD031264E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01048368",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.