Active NPI
Michael Nze
- Counselor
- Philadelphia, PA
National Provider Identifier
1962273136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 016195
- Practice address
- 7646 Brentwood Rd
Philadelphia, PA 19151-2021 - Phone
- (215) 594-1527
- NPI assigned
- Jan 15, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 016195 | PA | Primary |
Addresses
Primary practice location
7646 Brentwood Rd
Philadelphia, PA 19151-2021
Mailing address
PO Box 1394
Havertown, PA 19083-5994
Phone (215) 594-1527
Other practice location 1
7646 Brentwood Rd
Philadelphia, PA 19151-2021
Phone (215) 594-1527
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016195 | PA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supportive Care of Pennsylvania LLC | Current | Accepting new patients |
Locations
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
2109 Red Lion Rd
Philadelphia, PA 19115
Phone (215) 213-7000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1962273136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1394",
"city": "HAVERTOWN",
"state": "PA",
"postal_code": "190835994",
"telephone_number": "215-594-1527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7646 BRENTWOOD RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191512021",
"telephone_number": "215-594-1527"
}
],
"practiceLocations": [
{
"address_1": "7646 Brentwood Rd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191512021",
"country_code": "US",
"telephone_number": "215-594-1527",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NZE",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-15",
"last_updated": "2024-01-15",
"certification_date": "2024-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PA",
"license": "016195",
"primary": true
}
],
"identifiers": [],
"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 Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.