Active NPI
Faith Medical Associates, Inc
- Internal Medicine Physician
- Jenkintown, PA
National Provider Identifier
1972592392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD055549L
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Sleep Medicine (Internal Medicine) Physician
- Philadelphia, PA
- NPI 1487844148
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.