IVAN DENKER NPI 1104284835

NPI Information

NPI: 1104284835
Provider Name: IVAN DENKER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
4510 FRANKFORD AVE
PHILADELPHIA, PA
ZIP 19124
Phone: (215) 744-1302
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Ivan Denker is a family nurse practitioner in Philadelphia, PA. Ivan Denker NPI is 1104284835. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4510 FRANKFORD AVE
PHILADELPHIA, PA
ZIP 19124-602
Phone: (215) 744-1302
Fax: (215) 744-2544

The NPI 1104284835 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/9/2016 and was last updated on 2/9/2016.

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
1	163W00000X	Registered Nurse		RN663483	PENNSYLVANIA	No
2	163W00000X	Registered Nurse		26NR17659800	NEW JERSEY	No
3	163W00000X	Registered Nurse		22 710754	NEW YORK	No
4	363LF0000X	Nurse Practitioner	Family	33 340355	NEW YORK	No
5	363LF0000X	Nurse Practitioner	Family	SP015880	PENNSYLVANIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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