DR. STEVEN J NIERENBERG (NPI# 1245215136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245215136 |
| Entity Type | Individual |
| Full Name | DR. STEVEN J NIERENBERG |
| Credential | MD |
| Practice Address |
2422 S Broad St 1st Floor Phila PA 19145-4418 |
| Practice Telephone | 2153890607 |
| Practice Fax Number | 2153890604 |
| Mailing Telephone | 2153890607 |
| Mailing Fax Number | 2153890604 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2018-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD034592E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0011272000011 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3 Crescent Dr Fl 4, Philadelphia, PA 191121016 | 2155033191 | 2155037009 |
| Street Address |
2422 S BROAD ST 1ST FLOOR |
| City | PHILA |
| State | PA |
| Zip Code | 19145-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356328108 | Jack L Garden | Internal Medicine | 2422 S Broad St, 1st Floor, Phila, PA 19145-4418 | 2005-12-22 |
| 1154306033 | Glenn S Cooper | Internal Medicine | 2422 S Broad St, 1st Floor, Phila, PA 19145-4418 | 2005-12-13 |
| 1336124221 | Brian D Fedgchin | Internal Medicine | 2422 S Broad St, 1st Floor, Phila, PA 19145-4418 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564350 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2300a Rear W Oregon Ave, Philadelphia, PA 19145 | 2020-10-05 |
| 1376069559 | Kyle James Hughes | Physical Therapist | 2192 W Oregon Ave Fl 3, Philadelphia, PA 19145 | 2017-08-18 |
| 1821519752 | John A Takacs Dmd | Clinic/Center | 1707w Passyunk Ave, Philadelphia, PA 19145 | 2017-06-30 |
| 1033573209 | Kenneth Donahue | Dentist | 1517 Packer Avenue, Philadelphia, PA 19145 | 2016-04-13 |
| 1437516895 | Kimberly Wyand | Physical Therapist | 2129 Oregon St, Philadelphia, PA 19145 | 2016-01-15 |
| 1760856538 | Liji Vipin | Nurse Practitioner | 1615 Oregon Ave, Philadelphia, PA 19145 | 2015-11-17 |
| 1528333846 | Gina Marie Doyle | Registered Nurse | 1930 S. Broad Street, Philadelphia, PA 19145 | 2012-03-20 |
| 1639446214 | Thao T Tran | Pharmacist | 2014-24 South Broad St, Philadelphia, PA 19145 | 2011-11-25 |
| 1649573171 | Phyllis Yang | Internal Medicine | 1700 S Broad St, Unit 201, Philadelphia, PA 19145 | 2010-12-05 |
| 1326364613 | South Philadelphia Open Mri, LLC | Clinic/Center | 1834 West Oregon Avenue, Philadelphia, PA 19145 | 2010-04-13 |
| Find all providers in zip 19145 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063481398 | Howard Marc Rosner | Internal Medicine | 1809-13 Oregon Ave, 2nd Flr, Phila, PA 19145 | 2006-03-17 |
| 1841452679 | Temple Physicians Inc | Internal Medicine | 1741 Frankford Ave, Suite 100-g, Phila, PA 19125-2445 | 2008-07-02 |
| 1407018237 | Temple Physicians Inc | Internal Medicine | 1741 Frankford Ave, Suite 100-e, Phila, PA 19125-2445 | 2008-07-02 |
| 1790947521 | Temple Physicians Inc | Internal Medicine | 1741 Frankford Ave, Suite 100-d, Phila, PA 19125-2445 | 2008-07-02 |
| 1114064417 | Dean V Papoutsis | Internal Medicine | 2701 Holme Ave, Suite 105, Phila, PA 19152-2029 | 2007-01-30 |
| 1205900420 | Northeast Cardiology Consultants, Inc. | Internal Medicine | 2701 Holme Ave, Suite 105, Phila, PA 19152-2029 | 2006-11-20 |
| 1679599005 | Tandeep K Bhatti | Internal Medicine | 5401 Old York Rd, Klein 404, Phila, PA 19141-3030 | 2006-07-15 |
| 1245262542 | David Lin | Internal Medicine | 3400 Civic Center Blvd Fl 2, Phila, PA 19104-5127 | 2006-07-07 |
| 1619947553 | Veronica A Covalesky | Internal Medicine | 1703 S Broad St, Suite 300, Phila, PA 19148 | 2006-01-24 |
| 1396715249 | Daniel Dadourian | Internal Medicine | 230 N Broad St, 7th Flr., Ms 108, Phila, PA 19102-1121 | 2006-01-24 |
| Find all providers in PHILA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.