Daniels Medical Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD008723E Issued in PA

Legal business name

DANIELS MEDICAL ASSOCIATES

Practice address

1100 Walnut St
Ste 601
Philadelphia, PA 19107

Phone

(215) 955-3523

Fax

(215) 955-6023

NPI assigned

Mar 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Roger Bruce Daniels, MD

Title

President

Phone

(215) 955-3523

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861460339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WALNUT ST",
            "address_2": "STE 601",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "215-955-3523",
            "fax_number": "215-955-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WALNUT ST",
            "address_2": "STE 601",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "215-955-3523",
            "fax_number": "215-955-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELS MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-955-3523",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD008723E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Daniel
• Valerie Daniel, LMSW
• Michael Henry Danielewicz, MD
• Danielle Adinolfi MFT LLC (The Wellness Collective)
• Danielle Bourgeon Psychotherapy, PC
• Sharonn Celeste Daniels-Archie, FNP-BC
• Angela Daniels
• Anne Marie Daniels, RN, MSN, CRNP
• Benjamin Daniels, PSY.D.
• Beth Ann Daniels, PSYD, MA

• Internal Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Internal Medicine Physician in Pennsylvania

• 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.