FADEMOS FAMILY PRACTICE (NPI# 1801138896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801138896 |
| Entity Type | Organization |
| Organization Name | FADEMOS FAMILY PRACTICE |
| Practice Address |
16 Old Ashton Rd Ste 1 Philadelphia PA 19152-1661 |
| Practice Telephone | 2156135069 |
| Practice Fax Number | 2156136809 |
| Mailing Telephone | 2156135069 |
| Mailing Fax Number | 2156136809 |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2013-03-18 |
| Authorized Official Name | MRS. MARIAM SALAHOU (CEO/CLINICAL DIRECTOR) |
| Authorized Official Telephone | 2156135069 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
SP008704 | PA | Ambulatory Health Care Facilities |
| Street Address |
16 OLD ASHTON RD STE 1 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19152-1661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412416 | Vishak Hari Kumar | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave., Philadelphia, PA 19152 | 2020-06-19 |
| 1093298325 | Friendly Smile Dental Inc | Clinic/Center | 7608 Castor Ave 1 St Floor, Philadelphia, PA 19152 | 2018-09-12 |
| 1659857720 | Jaini Desai | Behavior Technician | 2982 Welsh Rd, Philadelphia, PA 19152 | 2018-07-12 |
| 1578066395 | Alexis Turbin | Physician Assistant | 8001 Roosevelt Blvd Ste 307, Philadelphia, PA 19152 | 2018-03-18 |
| 1215452982 | Nazareth Physician Services Inc | Social Worker | 2630 Holme Ave Ste 101, Philadelphia, PA 19152 | 2017-08-03 |
| 1437671955 | Anca & Leo LLC | Home Health | 9107 Revere St Ste 1, Philadelphia, PA 19152 | 2017-07-17 |
| 1407377435 | Erin O'neill Mcdermott | Nurse Practitioner | 1906 Tustin St., Philadelphia, PA 19152 | 2017-06-29 |
| 1700307766 | Vinayasree Shyam | Internal Medicine | 2601 Holme Avenue, Internal Medicine Residency, Philadelphia, PA 19152 | 2017-06-29 |
| 1497292833 | Joy & Comfort Home Care | Home Health | 2303 Stanwood St, Philadelphia, PA 19152 | 2017-01-24 |
| 1700320330 | Anna Lvovna Blinava | Pharmacist | 8330 Bustleton Ave Bells Market Pharmacy, Philadelphia, PA 19152 | 2016-12-16 |
| Find all providers in zip 19152 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235697061 | Family Vision Enterprises | Clinic/Center | 6201 N Front St Ste 119, Philadelphia, PA 19120-1541 | 2019-03-11 |
| 1366950776 | Dedicated Pennsylvania Holding, LLC | Clinic/Center | 5675 N. Front Strreet, Suite 141, Philadelphia, PA 19120-1910 | 2018-01-19 |
| 1316456494 | Maintenance Matrix, LLC | Clinic/Center | 200 S Broad St Ste 430, Philadelphia, PA 19102-3800 | 2017-09-21 |
| 1245759232 | Newlands Health | Clinic/Center | 9625 Frankford Ave., Philadelphia, PA 19114 | 2017-09-12 |
| 1518417096 | Lower Bucks Pediatrics | Clinic/Center | 3400 Red Lion Rd Apt 41a, Philadelphia, PA 19114-1348 | 2016-10-10 |
| 1083912000 | Zhanna Galperin,m.d., P.C.,inc | Clinic/Center | 1822 Benton St, Philadelphia, PA 19152-1007 | 2011-03-01 |
| 1457667859 | A.s.w. Pediatrics | Clinic/Center | 6358 Mccallum St, Philadelphia, PA 19144-2553 | 2010-08-23 |
| 1285875435 | Girard Internal Medicine LLC | Clinic/Center | 2625 W Girard Ave, Philadelphia, PA 19130-1333 | 2009-03-18 |
| 1689612277 | La Noce Medical Associates | Clinic/Center | 446 Domino Ln, Philadelphia, PA 19128-4302 | 2006-06-03 |
| 1912957861 | Medquest Healthcare, P.C. | Clinic/Center | 4329 Lancaster Ave, Philadelphia, PA 19104-1303 | 2006-05-11 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19152 |
Please comment or provide details below to improve the information on FADEMOS FAMILY PRACTICE.
| 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.