Active NPI
Victory Medical of Pennsylvania PC
- Vascular & Interventional Radiology Physician
- Philadelphia, PA
National Provider Identifier
1972476232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- Legal business name
- VICTORY MEDICAL OF PENNSYLVANIA PC
- Practice address
- 135 S 19TH St
Philadelphia, PA 19103-4912 - Phone
- (917) 599-9655
- NPI assigned
- Sep 24, 2025
- 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
- Mr. Richard Daniels, MD
- Title
- Owner
- Phone
- (732) 598-4226
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | |||
| Vascular & Interventional Radiology Physician | 2085R0204X | Primary |
Addresses
Primary practice location
135 S 19TH St
Philadelphia, PA 19103-4912
Mailing address
135 S 19TH St
Philadelphia, PA 19103-4912
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.
-
- Vascular Surgery Physician
- Toms River, NJ
- NPI 1417905043
Vascular & Interventional Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770854400000",
"number": "1972476232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 S 19TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191034912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 S 19TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191034912",
"telephone_number": "917-599-9655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTORY MEDICAL OF PENNSYLVANIA PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-24",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A",
"authorized_official_last_name": "DANIELS",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-598-4226",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"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 Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.