FOX CHASE CANCER CENTER MEDICAL GROUP, INC


Address: 333 Cottman Ave, Card Assoc of Fccc, Mgi, Philadelphia, PA 19111-2434
Phone: 2157286900

FOX CHASE CANCER CENTER MEDICAL GROUP, INC (NPI# 1700159977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700159977
Entity Type Organization
Organization Name FOX CHASE CANCER CENTER MEDICAL GROUP, INC
Other Organization Name CARD ASSOC OF FCCC, MGI
Practice Address 333 Cottman Ave
Card Assoc of Fccc, Mgi
Philadelphia
PA 19111-2434
Mailing Address 2450 W Hunting Park Ave
Philadelphia
PA 19129-1302
Practice Telephone 2157286900
Practice Fax Number 2152141245
Mailing Telephone 2157286900
Mailing Fax Number 2152141245
Enumeration Date 2012-02-17
Last Update Date 2018-06-14
Authorized Official Name TONYA WOODARD (CREDENTIALING/MANAGER)
Authorized Official Telephone 2157073911
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 1026888280009 05

Other Provider/Organization Names

Other Name Type Code
Card Assoc of FCCC, MGI Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1801160981 Fox Chase Cancer Center Medical Group, Inc Psychologist 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 2012-03-07
1710251897 Fox Chase Cancer Center Medical Group, Inc Psychiatry & Neurology 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 2012-03-07
1073887154 Fox Chase Cancer Center Medical Group, Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 2012-03-07
1518231695 Fox Chase Cancer Center Medical Group, Inc Surgery 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 2012-03-07
1457625535 Fox Chase Cancer Center Medical Group, Inc Otolaryngology 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 2012-03-07
1538433610 Fox Chase Cancer Center Medical Group, Inc Internal Medicine 333 Cottman Ave, West Bldg/cru, Philadelphia, PA 19111-2434 2012-03-07
1528332608 Fox Chase Cancer Center Medical Group, Inc Radiology 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 2012-03-07
1427322502 Fox Chase Cancer Center Medical Group, Inc Urology 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 2012-03-07
1992079073 Fox Chase Cancer Center Medical Group, Inc Internal Medicine 333 Cottman Ave, Philadelphia, PA 19111-2434 2012-03-07
1447524525 Fox Chase Cancer Center Medical Group, Inc Internal Medicine 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 2012-03-07

Office Location

Street Address 333 COTTMAN AVE
CARD ASSOC OF FCCC, MGI
City PHILADELPHIA
State PA
Zip Code 19111-2434

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356347504 Sangeeta K Tyerech Radiology 333 Cottman Ave, Philadelphia, PA 19111 2005-06-22
1114524097 Bernadette Golarz Nurse Anesthetist, Certified Registered 333 Cottman Ave, Philadelphia, PA 19111-2434 2020-10-05
1023625878 Nallely Hernandez Internal Medicine 333 Cottman Ave, Philadelphia, PA 19111-2497 2020-09-25
1780298612 Jean Marie Arlt Psychologist 333 Cottman Ave, Philadelphia, PA 19111-2434 2020-09-08
1811500549 Facundo Iriarte Surgery 333 Cottman Ave, Philadelphia, PA 19111-2497 2020-08-24
1275157455 Temple University Hospital, Inc General Acute Care Hospital 333 Cottman Ave, Philadelphia, PA 19111-2434 2020-06-03
1548898836 Hannah Rosenstein Campbell Genetic Counselor, MS 333 Cottman Ave, Philadelphia, PA 19111-2434 2020-03-31
1285281238 Senthuran Tharmalingam Surgery 333 Cottman Ave, Philadelphia, PA 19111-2497 2019-08-23
1619452885 Max David Lefton Surgery 333 Cottman Ave, Philadelphia, PA 19111-2434 2018-10-03
1730669425 Christopher Mkl Yao Otolaryngology 333 Cottman Ave, Philadelphia, PA 19111-2497 2018-08-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164036026 Grace Agency Incorporated Home Health 433 Longshore Ave, Philadelphia, PA 19111 2020-09-08
1124517750 Dana Christine Campetti Physician Assistant 700 Cottman Ave Ste 201, Philadelphia, PA 19111 2018-05-09
1235654286 Dorotea Mutabdzic Surgery Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 2017-08-11
1952841041 Personal Care Home C&g Point of Service 6176 Newtown Ave, Philadelphia, PA 19111 2017-03-08
1477006849 Fox Chase Cancer Center Clinic/Center 333 Cottman Ave., Philadelphia, PA 19111 2016-08-02
1578927521 Peter Whooley Student in an Organized Health Care Education/Training Program Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 2016-04-06
1043673783 Matthew Holzerman Physical Therapy Assistant 1148 Tabor Plz, Philadelphia, PA 19111 2016-03-31
1831563329 Aging With Care Inc Home Health 1614 Loney St, Philadelphia, PA 19111 2015-11-20
1043687551 Kenneth Marsaglia II Preventive Medicine 8414 Bridle Road, Philadelphia, PA 19111 2015-09-01
1700220514 Lorraine A Tauriello Counselor 716 Ripley St, Philadelphia, PA 19111 2013-04-23
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780198754 William Sigmund Internal Medicine 608 Spruce St, Philadelphia, PA 19106-4114 2017-11-28
1982128690 Mercy Management of Sepa Internal Medicine 501 S 54th St Ste 186, Philadelphia, PA 19143-1900 2017-08-03
1346651130 Chukwunweike Nwosu Internal Medicine 219 North Broad Street, Arnold T Berman Building, Philadelphia, PA 19107-3720 2014-05-14
1053736611 Mary Osbakken Internal Medicine 29 W Walnut Ln, Philadelphia, PA 19144-2609 2014-02-19
1275969131 Vohra Post Acute Care Physicians of The Northeast Pa Internal Medicine 8400 Bustleton Ave Ste 9, Philadelphia, PA 19152-1918 2013-09-23
1194169730 Edward Sawyer Cooper Internal Medicine 6710 Lincoln Drive, Philadelphia, PA 19119 2013-04-25
1720322969 Robert Alan Keisman Internal Medicine 300 Spring Garden St, Philadelphia, PA 19123-2932 2012-11-10
1497058390 Urban Health Initiatives, Inc. Internal Medicine 1408 S. Broad Street, Philadelphia, PA 19146-4808 2010-12-15
1104133354 Rajendra N Seth Md Associates Internal Medicine 5901 Summerdale Ave, Philadelphia, PA 19149-3626 2010-09-09
1194040436 Paul Nicolas Fiorilli Internal Medicine 3400 Civic Center Blvd Fl 11, Philadelphia, PA 19104-5159 2010-03-30
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Competitor

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City PHILADELPHIA
Zip Code 19111

Improve Information

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Dataset Information

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.

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