Organization Active NPI

Vip Healthcare Group

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1871945808
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD434225PE Issued in PA
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

Updated by the provider on Dec 10, 2019

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MD434225PE PA Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.