Active NPI
Edward J Strauss D.O., P.C.
- Adolescent Medicine (Family Medicine) Physician
- Philadelphia, PA
National Provider Identifier
1952574915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Family Medicine) Physician
- License
- OS004043L
- Legal business name
- EDWARD J STRAUSS D.O., P.C.
- Practice address
- 7604 Central Ave
Suite 102
Philadelphia, PA 19111-2433 - Phone
- (215) 728-6500
- Fax
- (215) 728-6502
- NPI assigned
- Apr 10, 2008
- 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
- Edward J Strauss, D.O.
- Title
- President
- Phone
- (215) 728-6500
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | OS004043L | PA | Primary |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | OS004043L | PA | |
| Internal Medicine Physician | 207R00000X | OS004043L | PA |
Addresses
Primary practice location
7604 Central Ave
Suite 102
Philadelphia, PA 19111-2433
Mailing address
7604 Central Ave
Suite 102
Philadelphia, PA 19111-2433
Phone (215) 728-6500
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008489480001 | Medicaid | PA | |
| 0848948 | Medicaid | PA | |
| PA10253 | Other | PA | QUALMED |
| 4220 | Other | PA | US HEALTHCARE |
| 47153 | Other | PA | MERCY NON-PAR |
| 923629 | Other | PA | KEYSTONE |
| ST994090 | Other | PA | BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428537600000",
"number": "1952574915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7604 CENTRAL AVE",
"address_2": "SUITE 102",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191112433",
"telephone_number": "215-728-6500",
"fax_number": "610-941-6412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7604 CENTRAL AVE",
"address_2": "SUITE 102",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191112433",
"telephone_number": "215-728-6500",
"fax_number": "215-728-6502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARD J STRAUSS D.O., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-10",
"last_updated": "2015-04-09",
"status": "A",
"authorized_official_last_name": "STRAUSS",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-728-6500",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207QA0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adolescent Medicine",
"state": "PA",
"license": "OS004043L",
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": "PA",
"license": "OS004043L",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS004043L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008489480001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0848948",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALMED",
"identifier": "PA10253",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTHCARE",
"identifier": "4220",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY NON-PAR",
"identifier": "47153",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "923629",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ST994090",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- Education Plus, Inc
- Education Plus, Inc. (Education Plus Health)
- Education Plus, Inc.
- Edward J Filippone MD PC
- Edward J McGinley MD PC (McGinley & Friedman Cardiology Associates)
- Edward J.P. Ciecko, DO, PC
- Edward M. Segal, D.D.S., Associates
- Michelle Edward
- Edwards Direct Home Care Agency, LLC
- Nafisah Edwards-Rasul
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.