BOSTON MEDICAL GROUP PENNSYLVANIA, P.C. (NPI# 1528485828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528485828 |
| Entity Type | Organization |
| Organization Name | BOSTON MEDICAL GROUP PENNSYLVANIA, P.C. |
| Practice Address |
100 S. Broad Street Suite 2136 Philadelphia PA 19110 |
| Practice Telephone | 2159727090 |
| Practice Fax Number | 2159727097 |
| Mailing Telephone | 2159727090 |
| Mailing Fax Number | 2159727097 |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |
| Authorized Official Name | MS. MARIANNE C. LABARBERA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7189814070 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336566652 | Boston Medical Group Pennsylvania, P.C. | Urology | 420 Fort Duquesne Blvd.,suite 899, 1 Gateway Center, Pittsburgh, PA 15222 | 2014-03-25 |
| Street Address |
100 S. BROAD STREET SUITE 2136 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487676698 | Constance Evert | Psychologist | 100 S. Broad Street, Suite 1521, Philadelphia, PA 19110-1026 | 2006-07-24 |
| 1164802708 | Jordan Levy | Social Worker | 100 S. Broad Street, Suite 1515, Philadelphia, PA 19110 | 2015-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518332543 | Thomas Fredrick Haworth | Psychologist | 100 South Broad St, Suite 1700, Philadelphia, PA 19110 | 2015-12-02 |
| 1588076178 | Hanel Ariel Choi | Dentist | 100 S. Broad St. Suite 1530, Philadelphia, PA 19110 | 2014-05-29 |
| 1104093004 | Erin Hadley | Psychologist | 100 S. Broad St., Suite 915, Philadelphia, PA 19110 | 2008-05-11 |
| 1407053846 | Kimberly Davis | Chiropractor | 100 S Broad Street, Suite 1800b, Philadelphia, PA 19110 | 2007-06-29 |
| 1023177144 | Joseph J. Peters Institute | Community/Behavioral Health | 100 South Broad Street, 17th Floor, Philadelphia, PA 19110 | 2006-12-06 |
| 1366997223 | Jenna Courtney Rosenau | Social Worker | 100 S Broad Street, Suite 1920, Philadelphia, PA 19110 | 2016-08-22 |
| 1578921359 | Tri-state Sport and Spine, Pllc | Chiropractor | 100 South Broad Street, 1800, Philadelphia, PA 19110 | 2016-02-08 |
| 1821434788 | Kathleen Fragale | Physical Therapist | 100 S Broad Street, Suite 1800b, Philadelphia, PA 19110 | 2013-05-20 |
| 1871864223 | Andrew Rittenhouse | Chiropractor | 100 S Broad Street, Suite 1800b, Philadelphia, PA 19110 | 2012-01-17 |
| 1073749123 | Philadelphia Spine and Wellness Cntr. | Chiropractor | 100 South Broad Street, Suite 1800 B, Philadelphia, PA 19110 | 2009-06-03 |
| Find all providers in zip 19110 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336444843 | Leonard Arnold Frank | Urology | 1025 Walnut St Suite 1112, Philadelphia, PA 19107 | 2011-01-13 |
| 1427369867 | Gregory Joseph Diorio | Urology | 231 N. Broad Street 2nd Floor, Philadelphia, PA 19107-2020 | 2010-06-30 |
| 1649451535 | Yew Lam Chong | Urology | 1025 Walnut St Ste 1112, Thomas Jefferson University Hospital, Philadelphia, PA 19107-5001 | 2007-11-19 |
| 1851586150 | Dana Alexandra Weiss | Urology | 34th and Civic Center Blvd Department, Children's Hospital of Philadelphia -urology Dept., Philadelphia, PA 19104-4399 | 2007-09-10 |
| 1922165000 | Phillip Mucksavage | Urology | 299 South 8th Street, Philadelphia, PA 19106-4010 | 2007-01-02 |
| 1215033618 | Michael Adrian Daniels | Urology | 2 Penn Blvd Ste 206, Philadelphia, PA 19144-1403 | 2006-09-15 |
| 1366553745 | Victor L Torres | Urology | 125 E Lehigh Avenue, Philadelphia, PA 19125 | 2006-08-31 |
| 1346280633 | Joseph K Izes | Urology | 833 Chestnut St Ste 703, Philadelphia, PA 19107-4409 | 2006-06-07 |
| 1790748838 | Victor Leonard Carpiniello | Urology | 299 S 8th St, Philadelphia, PA 19106-4010 | 2006-04-10 |
| 1770570798 | Melanie Ina Amster | Urology | 1216 Arch St, Suite 3b, Philadelphia, PA 19107-2835 | 2005-10-04 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19110 |
Please comment or provide details below to improve the information on BOSTON MEDICAL GROUP PENNSYLVANIA, P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.