Active NPI
Fox Chase Family Medical Center LTD
- Family Medicine Physician
- Philadelphia, PA
National Provider Identifier
1922054386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS009602L
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01748722 | Medicaid | PA |
National Provider Directory
National Provider DirectoryPractitioners & 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
- Fox Chase Cancer Center Medical Group, Inc (Int Med Assoc of FCCC, MGI)
- Fox Chase Cancer Center Medical Group, Inc. (Anesthesia Assoc of FCCC, MGI)
- Fox Chase Cancer Center Medical Group,Inc (Derm Assoc of FCCC, MGI)
- Fox Chase Cancer Hospice
- Fox Chase Family Eye Care LLC
- Fox Chase Gastro Assoc., P.C.
- Fox Chase Home Care, Inc.
- Fox Chase Medical Associates PC
- Fox Chase Pediatrics,LLC
- Emily Fox Conant, MD
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.