Individual provider Active NPI

Herbert M Schecter, D.O.

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1912015744
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS007367L Issued in PA
Practice address
10431 Academy Rd Ste J
Philadelphia, PA 19114-1126
Phone
(215) 637-4300
Fax
(215) 637-8507
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS007367L PA Primary

Addresses

Primary practice location

10431 Academy Rd Ste J
Philadelphia, PA 19114-1126

Mailing address

10431 Academy Rd Ste J
Phila, PA 19114-1126
Phone (215) 637-4300

Other identifiers 1

IdentifierTypeStateIssuer
0012585990003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050614000713 PA Practitioner - Family PracticePractitioner - Geriatric Medicine 7214971936

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1912015744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10431 ACADEMY RD STE J",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191141126",
            "telephone_number": "215-637-4300",
            "fax_number": "215-637-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10431 ACADEMY RD STE J",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141126",
            "telephone_number": "215-637-4300",
            "fax_number": "215-637-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHECTER",
        "first_name": "HERBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS007367L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012585990003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.