Active NPI
Nelson Auburn Wivel, MD
- Clinical Molecular Genetics Physician
- Haverford, PA
National Provider Identifier
1952831356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Molecular Genetics Physician
- License
- MD062749L
- Practice address
- 4101 Parkview Dr
Haverford, PA 19041-2012 - Phone
- (215) 836-1519
- NPI assigned
- Jun 18, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Molecular Genetics Physician | 207SG0203X | MD062749L | PA | Primary |
Addresses
Primary practice location
4101 Parkview Dr
Haverford, PA 19041-2012
Mailing address
4101 Parkview Dr
Haverford, PA 19041-2012
Phone (215) 836-1519
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD062749L | PA | MD | Clinical Molecular Genetics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1952831356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 PARKVIEW DR",
"city": "HAVERFORD",
"state": "PA",
"postal_code": "190412012",
"telephone_number": "215-836-1519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 PARKVIEW DR",
"city": "HAVERFORD",
"state": "PA",
"postal_code": "190412012",
"telephone_number": "215-836-1519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIVEL",
"first_name": "NELSON",
"middle_name": "AUBURN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207SG0203X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Molecular Genetics",
"state": "PA",
"license": "MD062749L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haverford, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.