Organization Active NPI

Joseph M Lichtman, MD PC

  • Point of Service
  • Philadelphia, PA
National Provider Identifier
1982981536
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
MD033646L Issued in PA
Legal business name
JOSEPH M LICHTMAN, MD PC
Practice address
514 S 4TH St
Philadelphia, PA 19147-1593
Phone
(215) 922-4274
Fax
(215) 922-2715
NPI assigned
Nov 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Authorized official

Name
Maura Elliott
Title
Office Manager
Phone
(215) 922-4274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X MD033646L PA Primary

Addresses

Primary practice location

514 S 4TH St
Philadelphia, PA 19147-1593

Mailing address

514 S 4TH St
Philadelphia, PA 19147-1593
Phone (215) 922-4274

National Provider Directory

National Provider Directory

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": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1982981536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S 4TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471593",
            "telephone_number": "215-922-4274",
            "fax_number": "215-922-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S 4TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471593",
            "telephone_number": "215-922-4274",
            "fax_number": "215-922-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH M LICHTMAN, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "MAURA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-922-4274"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "PA",
            "license": "MD033646L",
            "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 Nov 10, 2011; 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.