NPIMap

Organization Active NPI

7622 Medical Center, Inc.

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1902976202
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
7622 MEDICAL CENTER, INC.
Practice address
7622 Ogontz Ave
Philadelphia, PA 19150-1817
Phone
(215) 224-8980
Fax
(215) 224-9342
NPI assigned
Nov 8, 2006
Last updated
May 2, 2008By the provider in NPPES
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
Debbie Bynum
Title
Medicare Department
Phone
(215) 224-8980

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

7622 Ogontz Ave
Philadelphia, PA 19150-1817

Mailing address

7622 Ogontz Ave
Philadelphia, PA 19150-1817
Phone (215) 224-8980

National Provider Directory

National Provider Directory

Locations

7622 Ogontz Ave
Philadelphia, PA 19150
Phone (215) 224-8980

7625 Ogontz Ave
Philadelphia, PA 19150
Phone (215) 224-9515

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1902976202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7622 OGONTZ AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191501817",
            "telephone_number": "215-224-8980",
            "fax_number": "215-224-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7622 OGONTZ AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191501817",
            "telephone_number": "215-224-8980",
            "fax_number": "215-224-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "7622 MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "MEDICARE DEPARTMENT",
        "authorized_official_telephone_number": "215-224-8980"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "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 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.