Organization Active NPI

Lawrence J. Kessel MD Inc.

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1922009646
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LAWRENCE J. KESSEL MD INC.
Practice address
8200 Henry Ave
Suite G 1
Philadelphia, PA 19128-2984
Phone
(215) 482-2336
Fax
(215) 483-4339
NPI assigned
Aug 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Lawrence Jay Kessel, MDNPI 1467452581
Title
President
Phone
(215) 482-2336

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X PA Primary

Addresses

Primary practice location

8200 Henry Ave
Suite G 1
Philadelphia, PA 19128-2984

Mailing address

8200 Henry Ave
Suite G 1
Philadelphia, PA 19128-2984
Phone (215) 482-2336

Other identifiers 1

IdentifierTypeStateIssuer
1007749810004MedicaidPA

Other names 1

  • Lawrence J. Kessel MD and Associates,PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040708000452 PA Part B Supplier - Clinic/Group Practice 8022096916 Receives reassigned benefits from 4 practitioners
Practice locations: Blue Bell, PA; Lafayette Hill, PA; Philadelphia, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1922009646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 HENRY AVE",
            "address_2": "SUITE G 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282984",
            "telephone_number": "215-482-2336",
            "fax_number": "215-483-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 HENRY AVE",
            "address_2": "SUITE G 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282984",
            "telephone_number": "215-482-2336",
            "fax_number": "215-483-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE J. KESSEL MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KESSEL",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-482-2336",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007749810004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawrence J. Kessel MD and Associates,PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.