Active NPI
Axiva Infusion Centers - HT LLC
- Internal Medicine Physician
- Havertown, PA
National Provider Identifier
1972065043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- AXIVA INFUSION CENTERS - HT LLC
- Practice address
- 2010 W Chester Pike Ste 438
Havertown, PA 19083-2740 - Phone
- (844) 442-9482
- Fax
- (844) 440-0101
- NPI assigned
- Apr 5, 2019
- 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
- Colleen S Shapiro
- Title
- Managing Member
- Phone
- (844) 442-9482
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2010 W Chester Pike Ste 438
Havertown, PA 19083-2740
Mailing address
1120 W Township Line Rd Ste 300
Havertown, PA 19083-4929
Phone (610) 601-0760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761004800000",
"number": "1972065043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 W TOWNSHIP LINE RD STE 300",
"city": "HAVERTOWN",
"state": "PA",
"postal_code": "190834929",
"telephone_number": "610-601-0760",
"fax_number": "610-756-0670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 W CHESTER PIKE STE 438",
"city": "HAVERTOWN",
"state": "PA",
"postal_code": "190832740",
"telephone_number": "844-442-9482",
"fax_number": "844-440-0101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AXIVA INFUSION CENTERS - HT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-05",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A",
"authorized_official_last_name": "SHAPIRO",
"authorized_official_first_name": "COLLEEN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "844-442-9482"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Havertown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.