FRUITION MEDICINE PLLC NPI 1356169619

NPI Information

  • NPI: 1356169619
  • Provider Name: FRUITION MEDICINE PLLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: FRUITION MEDICINE
  • Address: 2418 E YORK ST
    PHILADELPHIA, PA
    ZIP 19125
  • Phone: (267) 360-7927

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NPI Details

FRUITION MEDICINE PLLC is a primary care clinic center in Philadelphia, PA. FRUITION MEDICINE PLLC NPI is 1356169619. The provider is registered as an organization entity type.
The provider Is Doing Business As Fruition Medicine.

The provider's business location address is:

2418 E YORK ST
PHILADELPHIA, PA
ZIP 19125-006
Phone: (267) 360-7927
Fax: (215) 267-9781

The provider's authorized official is Ashvin Vijayakumar .
The authorized official title is Founder/physician and has the following contact phone number (267) 360-7927.

The enumeration date for this NPI number is 9/26/2024 and was last updated on 11/29/2024.

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
1207R00000XInternal MedicineNo
2207RA0401XInternal MedicineAddiction MedicineNo
3261Q00000XClinic/CenterNo
4261QC1500XClinic/CenterCommunity HealthNo
5261QC1800XClinic/CenterCorporate HealthNo
6261QP2300XClinic/CenterPrimary CareYes

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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