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HEALTHDRIVE PODIATRY GROUP PC NPI 1619905114


NPI Information

NPI: 1619905114
Provider Name: HEALTHDRIVE PODIATRY GROUP, PC

Doing Business As: HEALTHDRIVE PODIATRY GROUP

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
12 PENNS TRAIL
SUITE 154
NEWTOWN, PA
ZIP 18940
Phone: (215) 675-3005
Get Directions

HEALTHDRIVE PODIATRY GROUP, PC is a podiatrist in Newtown, PA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. HEALTHDRIVE PODIATRY GROUP, PC NPI is 1619905114. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Healthdrive Podiatry Group.

The provider's business location address is:

12 PENNS TRAIL
SUITE 154
NEWTOWN, PA
ZIP 18940-438
Phone: (215) 675-3005
Fax: (888) 662-0859

The provider's authorized official is Shadi Adib Abboud .
The authorized official title is Treasurer/practice Director and has the following contact phone number (857) 255-0486.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 12/31/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10055313000OTHERPENNSYLVANIAKEYSTONE HEALTH PLAN EAST
2835574OTHERPENNSYLVANIABLUE CROSS BLUE SHIELD
30015488010010MEDICAIDPENNSYLVANIA
4DA3720OTHERPENNSYLVANIARAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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