FOX CHASE CANCER CENTER MEDICAL GROUP, INC


Address: 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434
Phone: 2157283940

FOX CHASE CANCER CENTER MEDICAL GROUP, INC (NPI# 1801160981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801160981
Entity Type Organization
Organization Name FOX CHASE CANCER CENTER MEDICAL GROUP, INC
Other Organization Name PSYCH ASSOC OF FCCC, MGI
Practice Address 333 Cottman Ave
Fox Chase Cancer Center
Philadelphia
PA 19111-2434
Mailing Address 2450 W Hunting Park Ave
Philadelphia
PA 19129-1302
Practice Telephone 2157283940
Practice Fax Number 2152143901
Mailing Telephone 2152143940
Mailing Fax Number 2152141425
Enumeration Date 2012-03-07
Last Update Date 2018-06-14
Authorized Official Name TONYA WOODARD (CREDENTIALING/MANAGER)
Authorized Official Telephone 2157073911
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103T00000X Psychologist Behavioral Health & Social Service Providers
N 2084P2900X Psychiatry & Neurology
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 1026888280001 05

Other Provider/Organization Names

Other Name Type Code
Psych Assoc of FCCC, MGI Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1710251897 Fox Chase Cancer Center Medical Group, Inc Psychiatry & Neurology 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 2012-03-07
1073887154 Fox Chase Cancer Center Medical Group, Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 2012-03-07
1518231695 Fox Chase Cancer Center Medical Group, Inc Surgery 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 2012-03-07
1457625535 Fox Chase Cancer Center Medical Group, Inc Otolaryngology 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 2012-03-07
1538433610 Fox Chase Cancer Center Medical Group, Inc Internal Medicine 333 Cottman Ave, West Bldg/cru, Philadelphia, PA 19111-2434 2012-03-07
1528332608 Fox Chase Cancer Center Medical Group, Inc Radiology 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 2012-03-07
1427322502 Fox Chase Cancer Center Medical Group, Inc Urology 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 2012-03-07
1992079073 Fox Chase Cancer Center Medical Group, Inc Internal Medicine 333 Cottman Ave, Philadelphia, PA 19111-2434 2012-03-07
1447524525 Fox Chase Cancer Center Medical Group, Inc Internal Medicine 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 2012-03-07
1891069977 Fox Chase Cancer Center Medical Group, Inc Internal Medicine 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 2012-03-07

Office Location

Street Address 333 COTTMAN AVE
FOX CHASE CANCER CENTER
City PHILADELPHIA
State PA
Zip Code 19111-2434

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356347504 Sangeeta K Tyerech Radiology 333 Cottman Ave, Philadelphia, PA 19111 2005-06-22
1114524097 Bernadette Golarz Nurse Anesthetist, Certified Registered 333 Cottman Ave, Philadelphia, PA 19111-2434 2020-10-05
1023625878 Nallely Hernandez Internal Medicine 333 Cottman Ave, Philadelphia, PA 19111-2497 2020-09-25
1780298612 Jean Marie Arlt Psychologist 333 Cottman Ave, Philadelphia, PA 19111-2434 2020-09-08
1811500549 Facundo Iriarte Surgery 333 Cottman Ave, Philadelphia, PA 19111-2497 2020-08-24
1275157455 Temple University Hospital, Inc General Acute Care Hospital 333 Cottman Ave, Philadelphia, PA 19111-2434 2020-06-03
1548898836 Hannah Rosenstein Campbell Genetic Counselor, MS 333 Cottman Ave, Philadelphia, PA 19111-2434 2020-03-31
1285281238 Senthuran Tharmalingam Surgery 333 Cottman Ave, Philadelphia, PA 19111-2497 2019-08-23
1619452885 Max David Lefton Surgery 333 Cottman Ave, Philadelphia, PA 19111-2434 2018-10-03
1730669425 Christopher Mkl Yao Otolaryngology 333 Cottman Ave, Philadelphia, PA 19111-2497 2018-08-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164036026 Grace Agency Incorporated Home Health 433 Longshore Ave, Philadelphia, PA 19111 2020-09-08
1124517750 Dana Christine Campetti Physician Assistant 700 Cottman Ave Ste 201, Philadelphia, PA 19111 2018-05-09
1235654286 Dorotea Mutabdzic Surgery Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 2017-08-11
1952841041 Personal Care Home C&g Point of Service 6176 Newtown Ave, Philadelphia, PA 19111 2017-03-08
1477006849 Fox Chase Cancer Center Clinic/Center 333 Cottman Ave., Philadelphia, PA 19111 2016-08-02
1578927521 Peter Whooley Student in an Organized Health Care Education/Training Program Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 2016-04-06
1043673783 Matthew Holzerman Physical Therapy Assistant 1148 Tabor Plz, Philadelphia, PA 19111 2016-03-31
1831563329 Aging With Care Inc Home Health 1614 Loney St, Philadelphia, PA 19111 2015-11-20
1043687551 Kenneth Marsaglia II Preventive Medicine 8414 Bridle Road, Philadelphia, PA 19111 2015-09-01
1700220514 Lorraine A Tauriello Counselor 716 Ripley St, Philadelphia, PA 19111 2013-04-23
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

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NPI Name Taxonomy Address Enumeration
1407499148 Tower Drexel Academic Medical Group LLC Psychiatry & Neurology 160 E Erie Ave Fl 2, Philadelphia, PA 19134-1011 2019-10-25
1568956043 Reid Thomas Alley Psychiatry & Neurology Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 2018-06-19
1073033874 Sarah Miller Psychiatry & Neurology 100 E Lehigh Ave Ste 305b, Philadelphia, PA 19125-1012 2017-06-22
1659800175 Michael William Pelekanos Psychiatry & Neurology 100 E. Lehigh Avenue Suite 305b, Philadelphia, PA 19125 2017-06-08
1063940187 Travis J Dichoso Psychiatry & Neurology 100 E Lehigh Ave Suite 305b, Philadelphia, PA 19125 2017-06-02
1104354778 Julian Camilo Artunduaga Psychiatry & Neurology 100 E Lehigh Ave Bldg Suit105, Philadelphia, PA 19125-1012 2017-05-26
1538691340 Lea Fowler Hecht Psychiatry & Neurology 3207 Baring St, Apt. 2, Philadelphia, PA 19104-2510 2017-03-30
1962941021 Whidbey Island Public Hospital District Psychiatry & Neurology 808 S Swanson St, Philadelphia, PA 19147-4330 2017-02-21
1811340482 Katarzyna Liwski Psychiatry & Neurology 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 2016-07-19
1649620089 Matthew Parker Psychiatry & Neurology 2040 Market St Apt 1121, Philadelphia, PA 19103-3369 2016-06-16
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Competitor

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City PHILADELPHIA
Zip Code 19111

Improve Information

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Dataset Information

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.

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