SOAR CORP NPI 1023287711

NPI Information

  • NPI: 1023287711
  • Provider Name: SOAR CORP
  • Classification: Clinic/Center - 261QM2800X
  • Specialization: Methadone
  • Entity Type: Organization
  • Address: 9150 MARSHALL ST
    SUITE 2
    PHILADELPHIA, PA
    ZIP 19114
  • Phone: (215) 464-4450

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NPI Details

SOAR CORP is a methadone clinic center in Philadelphia, PA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. SOAR CORP NPI is 1023287711. The provider is registered as an organization entity type.

The provider's business location address is:

9150 MARSHALL ST
SUITE 2
PHILADELPHIA, PA
ZIP 19114
Phone: (215) 464-4450
Fax: (215) 464-4405

The provider's authorized official is Mark Shvartsburd .
The authorized official title is Ceo/program Sponsor and has the following contact phone number (215) 322-6590.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm (HCPCS:G2067)

The enumeration date for this NPI number is 2/27/2008 and was last updated on 8/14/2018.

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
1251S00000XCommunity/Behavioral HealthNo
2261QM2800XClinic/CenterMethadone807405PENNSYLVANIAYes

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
11020553790001MEDICAIDPENNSYLVANIA

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: 11/21/2025

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