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UNIVERSITY OF PENN-NEUROLOGY ASSTS. NPI 1346359510


NPI Information

NPI: 1346359510
Provider Name: UNIVERSITY OF PENN-NEUROLOGY ASSTS.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
3400 SPRUCE ST
2 RAVDIN
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-3606
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UNIVERSITY OF PENN-NEUROLOGY ASSTS. is a neurology psychiatry neurology in Philadelphia, PA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. UNIVERSITY OF PENN-NEUROLOGY ASSTS. NPI is 1346359510. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3400 SPRUCE ST
2 RAVDIN
PHILADELPHIA, PA
ZIP 19104-206
Phone: (215) 662-3606

The provider's authorized official is Elizabeth Johnston .
The authorized official title is Executive Director and has the following contact phone number (215) 662-7583.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 1/6/2014.


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
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyPENNSYLVANIANo
22084N0400XPsychiatry & NeurologyNeurologyPENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1039188OTHERPENNSYLVANIABLUE SHIELD
21008658OTHERPENNSYLVANIAMERCY
310375OTHERPENNSYLVANIAHEALTHPARTNERS
40055785000OTHERPENNSYLVANIAKEYSTONE
5CA1585OTHERPENNSYLVANIARR MEDICARE
63578909MEDICAIDNEW JERSEY
7273304OTHERPENNSYLVANIAMAMSI
8118289600OTHERPENNSYLVANIAACS
9203677OTHERPENNSYLVANIAEEIOC
10G00031400OTHERPENNSYLVANIAAMERICHOICE
11039188MEDICARE PINPENNSYLVANIA
120002Y21675OTHERPENNSYLVANIAHEALTHNET
131001258770MEDICAIDPENNSYLVANIA
14005023OTHERPENNSYLVANIAAETNA

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.