Organization Active NPI

Independence Urology Inc

  • Urology Physician
  • Drexel Hill, PA
National Provider Identifier
1891715694
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
INDEPENDENCE UROLOGY INC
Practice address
3001 Garrett Rd
Ste B
Drexel Hill, PA 19026
Phone
(610) 622-7705
Fax
(610) 284-6046
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Pierre Y Ghayad, MDNPI 1235140062
Title
Physician
Phone
(610) 622-7705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

3001 Garrett Rd
Ste B
Drexel Hill, PA 19026

Mailing address

3001 Garrett Rd
Ste B
Drexel Hill, PA 19026
Phone (610) 622-7705

National Provider Directory

National Provider Directory

Locations

2100 Keystone Ave
Ste 307
Drexel Hill, PA 19026
Phone (610) 259-3000

190 W Sproul Rd
Ste 210
Springfield, PA 19064

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1891715694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 GARRETT RD",
            "address_2": "STE B",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "19026",
            "telephone_number": "610-622-7705",
            "fax_number": "610-284-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 GARRETT RD",
            "address_2": "STE B",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "19026",
            "telephone_number": "610-622-7705",
            "fax_number": "610-284-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE UROLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "GHAYAD",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "610-622-7705",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Drexel Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.