Organization Active NPI

Faith Medical Associates, Inc

  • Internal Medicine Physician
  • Jenkintown, PA
National Provider Identifier
1972592392
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD055549L Issued in PA
Legal business name
FAITH MEDICAL ASSOCIATES, INC
Practice address
261 Old York Rd
Ste 304
Jenkintown, PA 19046-3709
Phone
(215) 887-9840
Fax
(218) 887-9842
NPI assigned
Oct 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Anu R Konakanchi, MD
Title
President
Phone
(215) 887-9840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD055549L PA Primary

Addresses

Primary practice location

261 Old York Rd
Ste 304
Jenkintown, PA 19046-3709

Mailing address

261 Old York Rd
Ste 304
Jenkintown, PA 19046-3709
Phone (215) 887-9840

Other names 1

  • Jenkintown Internal Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

261 Old York Rd
Ste 304
Jenkintown, PA 19046
Phone (215) 884-0313

Practitioners & 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": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1972592392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD",
            "address_2": "STE 304",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463709",
            "telephone_number": "215-887-9840",
            "fax_number": "218-887-9842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD",
            "address_2": "STE 304",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463709",
            "telephone_number": "215-887-9840",
            "fax_number": "218-887-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH MEDICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "KONAKANCHI",
        "authorized_official_first_name": "ANU",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-887-9840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD055549L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jenkintown Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jenkintown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.