Provider Type Icon

NAZARETH PHYSICIAN SERVICES INC NPI 1215452982


NPI Information

NPI: 1215452982
Provider Name: NAZARETH PHYSICIAN SERVICES, INC

Other Name: MERCY PRIMARY CARE AT HOLME AVENUE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 39D0692206

Address:
2630 HOLME AVE STE 101
PHILADELPHIA, PA
ZIP 19152
Phone: (215) 624-6007
Get Directions

NAZARETH PHYSICIAN SERVICES, INC is a family medicine in Philadelphia, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NAZARETH PHYSICIAN SERVICES, INC NPI is 1215452982. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Mercy Primary Care At Holme Avenue.

The provider's business location address is:

2630 HOLME AVE STE 101
PHILADELPHIA, PA
ZIP 19152
Phone: (215) 624-6007
Fax: (215) 624-6465

The provider's authorized official is John Caruso .
The authorized official title is President and has the following contact phone number (215) 710-2651.

The CLIA number assigned to this NPI record is 39D0692206 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/3/2017 and was last updated on 4/22/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalPENNSYLVANIANo
2207Q00000XFamily MedicinePENNSYLVANIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.