Damyanti Juneja, M.D

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD035169L Issued in PA

Practice address

800 S 60TH St
Philadelphia, PA 19143-2312

Phone

(215) 748-1143

NPI assigned

May 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cobbs Creek Medical Associates,P.C

  • Clinic/Center
  • Philadelphia, PA
  • NPI 1184671653
  NPD (past) Authorized official

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235952000000",
    "number": "1912954116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 BOBARN DR",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190721136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S 60TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191432312",
            "telephone_number": "215-748-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNEJA",
        "first_name": "DAMYANTI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2009-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD035169L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0589363",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trudy Jumper, RD
• Jay Jun
• Maria Jun, DMD
• Joey Junarta, MD
• Carl June, MD
• Prateek Juneja, DO
• Andrew Jung, DDS
• Arang Jung
• Ha Rim Jung, RPH
• Hae-Min Jung

• General Practice Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.