Active NPI
Samuel Quartey DPM PC
- Podiatrist
- Philadelphia, PA
National Provider Identifier
1861544645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC00208IL
- Legal business name
- SAMUEL QUARTEY DPM PC
- Practice address
- 5023 Spruce St
Philadelphia, PA 19139 - Phone
- (215) 471-1407
- Fax
- (215) 471-6061
- NPI assigned
- Jan 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Samuel Ferguson Quartey, DPM
- Title
- President
- Phone
- (215) 471-1407
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC00208IL | PA | Primary |
Addresses
Primary practice location
5023 Spruce St
Philadelphia, PA 19139
Mailing address
5023 Spruce St
Philadelphia, PA 19139
Phone (215) 471-1407
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000540237 | Medicaid | PA | |
| 095915 | Other | PERSONAL CHOICE BCBS | |
| 0060592000 | Other | KEYSTONE HEALTH PLAN EAST |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1861544645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5023 SPRUCE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19139",
"telephone_number": "215-471-1407",
"fax_number": "215-471-6061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5023 SPRUCE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19139",
"telephone_number": "215-471-1407",
"fax_number": "215-471-6061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMUEL QUARTEY DPM PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "QUARTEY",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "FERGUSON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-471-1407",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "PA",
"license": "SC00208IL",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000540237",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE BCBS",
"identifier": "095915",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN EAST",
"identifier": "0060592000",
"state": null
}
],
"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 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.