Organization Active NPI

Fox Chase Family Medical Center LTD

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1922054386
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS009602L Issued in PA
Legal business name
FOX CHASE FAMILY MEDICAL CENTER LTD
Practice address
7956 Verree Road
Philadelphia, PA 19111-2530
Phone
(215) 745-7101
Fax
(215) 745-0981
NPI assigned
May 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Malorie L Budman-Traub, DO
Title
President
Phone
(215) 745-7101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS009602L PA Primary

Addresses

Primary practice location

7956 Verree Road
Philadelphia, PA 19111-2530

Mailing address

7956 Verree Road
Philadelphia, PA 19111-2530
Phone (215) 745-7101

Other identifiers 1

IdentifierTypeStateIssuer
01748722MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922054386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7956 VERREE ROAD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112530",
            "telephone_number": "215-745-7101",
            "fax_number": "215-745-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7956 VERREE ROAD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112530",
            "telephone_number": "215-745-7101",
            "fax_number": "215-745-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX CHASE FAMILY MEDICAL CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUDMAN-TRAUB",
        "authorized_official_first_name": "MALORIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-745-7101",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS009602L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01748722",
            "state": "PA"
        }
    ],
    "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 Aug 22, 2020; 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.