Active NPI
Vip Healthcare Group
- Internal Medicine Physician
- Philadelphia, PA
National Provider Identifier
1871945808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD434225PE
- Legal business name
- VIP HEALTHCARE GROUP
- Practice address
- 6043 N 5TH St
Philadelphia, PA 19120-1848 - Phone
- (917) 593-2008
- Fax
- (215) 701-2254
- NPI assigned
- Jul 1, 2016
- 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. David Duong, DPT
- Title
- Coo
- Phone
- (215) 992-4311
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD434225PE | PA | Primary |
| Physical Therapist | 225100000X | PT019240 | PA |
Addresses
Primary practice location
6043 N 5TH St
Philadelphia, PA 19120-1848
Mailing address
6043 N 5TH Street
Philadelphia, PA 19120-9996
Phone (917) 593-2008
National Provider Directory
National Provider DirectoryLocations
6043 N 5th St
#1
Philadelphia, PA 19120
6043 N 5th St
Philadelphia, PA 19120
Phone (267) 242-0671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1575936000000",
"number": "1871945808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6043 N 5TH STREET",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191209996",
"telephone_number": "917-593-2008",
"fax_number": "215-701-2254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6043 N 5TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191201848",
"telephone_number": "917-593-2008",
"fax_number": "215-701-2254"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIP HEALTHCARE GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-01",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A",
"authorized_official_last_name": "DUONG",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "215-992-4311",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD434225PE",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT019240",
"primary": false
}
],
"identifiers": [],
"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 Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.