Active NPI
Advanced Care Podiatry
- Foot & Ankle Surgery Podiatrist
- Philadelphia, PA
National Provider Identifier
1982085783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- SC006158
- Legal business name
- ADVANCED CARE PODIATRY
- Practice address
- 2301 E Allegheny Ave
Philadelphia, PA 19134-4427 - Phone
- (215) 291-2194
- NPI assigned
- Jun 17, 2015
- 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. Aisha Chaudhry, D.P.M
- Title
- Ceo
- Phone
- (215) 639-4500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC006158 | PA | Primary |
Addresses
Primary practice location
2301 E Allegheny Ave
Philadelphia, PA 19134-4427
Mailing address
2301 E Allegheny Ave
Philadelphia, PA 19134-4427
Phone (215) 291-2194
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102136904-0002 | Medicaid | PA |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576195200000",
"number": "1982085783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 E ALLEGHENY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191344427",
"telephone_number": "215-291-2194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 E ALLEGHENY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191344427",
"telephone_number": "215-291-2194"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED CARE PODIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-17",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A",
"authorized_official_last_name": "CHAUDHRY",
"authorized_official_first_name": "AISHA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "215-639-4500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC006158",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102136904-0002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- Advance Life Ambulance Inc
- Advance Medical Equipment
- Advanced Anesthesia Specialists, PC
- Advanced Arm Dynamics of Philadelphia
- Advanced Behavioral Health
- Advanced Chiropractic of Philadelphia, PLLC
- Advanced Chiropractic Services, Inc.
- Advanced Dental Designs PC
- Advanced Dental Services, P.C
- Advanced Dental Speciality PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.