PHILADELPHIA PODIATRY GROUP NPI 1518029461

NPI Information

  • NPI: 1518029461
  • Provider Name: PHILADELPHIA PODIATRY GROUP
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 2428 S BROAD ST
    PHILA, PA
    ZIP 19145
  • Phone: (215) 336-6600

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NPI Details

PHILADELPHIA PODIATRY GROUP is a podiatrist in Phila, PA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. PHILADELPHIA PODIATRY GROUP NPI is 1518029461. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2428 S BROAD ST
PHILA, PA
ZIP 19145-418
Phone: (215) 336-6600

The provider's authorized official is Alfred J Iezzi .
The authorized official title is President and has the following contact phone number (215) 336-6600.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 8/22/2020.

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
1213E00000XPodiatristSC002094LPENNSYLVANIAYes

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
10687240000OTHERPENNSYLVANIAKEYSTONE HMO

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: 3/30/2025

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