Organization Active NPI

Samuel Quartey DPM PC

  • Podiatrist
  • Philadelphia, PA
National Provider Identifier
1861544645
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC00208IL Issued in PA
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

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
Dr. Samuel Ferguson Quartey, DPM
Title
President
Phone
(215) 471-1407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0000540237MedicaidPA
095915OtherPERSONAL CHOICE BCBS
0060592000OtherKEYSTONE HEALTH PLAN EAST

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.