Organization Active NPI

Quintiliani & Desalvo Family Practice Associates, P.C.

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1922192897
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
QUINTILIANI & DESALVO FAMILY PRACTICE ASSOCIATES, P.C.
Practice address
801 N 66TH St
Philadelphia, PA 19151-3331
Phone
(215) 879-2500
Fax
(215) 879-6756
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Authorized official

Name
Mrs. Frances Malone
Title
Office Manager
Phone
(215) 879-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X PA Primary

Addresses

Primary practice location

801 N 66TH St
Philadelphia, PA 19151-3331

Mailing address

801 N 66TH St
Philadelphia, PA 19151-3331
Phone (215) 879-2500

Other names 1

  • Havertown Family Practice Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040726000087 PA Part B Supplier - Clinic/Group Practice 6608856067 Receives reassigned benefits from 2 practitioners
Practice locations: Havertown, PA; Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

850 W Chester Pike
Fl 2
Havertown, PA 19083
Phone (610) 789-7977

Practitioners & affiliated clinicians

Practitioners 2

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1922192897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N 66TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513331",
            "telephone_number": "215-879-2500",
            "fax_number": "215-879-6756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N 66TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513331",
            "telephone_number": "215-879-2500",
            "fax_number": "215-879-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINTILIANI & DESALVO FAMILY PRACTICE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-879-2500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Havertown Family Practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 24, 2011; 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.