Carly Defaria, MD
Internal Medicine in Philadelphia, Pennsylvania
1013533124- Practice location
- 5501 Old York RD, Philadelphia, PA 19141-3018
- Phone
- 215-456-7890
- Fax
- —
- Last updated
- August 6, 2026
Carly Defaria is an Internal Medicine based in Philadelphia, PA. Carly Defaria practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Carly Defaria is 1013533124 and holds a License No. MD482282 (PA). The current practice location address for Carly Defaria is 5501 Old York RD, Philadelphia, PA 19141-3018 and can be reached out via phone at 215-456-7890.
Provider Profile Details
- NPI Number
- 1013533124
- Provider Name
- Carly Defaria
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 5501 Old York RD, Philadelphia, PA 19141-3018
- Phone Number
- 215-456-7890
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 24, 2020
- Last Update Date
- August 6, 2026
- Certification Date
- August 6, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5501 Old York RD
Philadelphia, PA 19141-3018 - City
- Philadelphia
- State
- Pennsylvania
- Zip
- 19141-3018
- Phone Number
- 215-456-7890
Provider Business Mailing Address Details
- Address
- 5501 Old York RD
Philadelphia, PA 19141-3018 - City
- Philadelphia
- State
- PA
- Zip
- 19141-3018
License Information
- License Number (1)
- MD482282
- License State (1)
- PA
- Taxonomy (1)
- Internal Medicine · 207R00000X · Primary
- License Number (2)
- 042.0040559
- License State (2)
- VT
- Taxonomy (2)
- Internal Medicine · 207R00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Carly Defaria, MD?
The NPI number of Carly Defaria, MD is 1013533124. It was assigned on June 24, 2020 and is currently active in the NPPES registry.
What is the specialty of Carly Defaria, MD?
Carly Defaria, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in PA under license number MD482282.
Where does Carly Defaria, MD practice?
The practice location is 5501 Old York RD, Philadelphia, PA 19141-3018. The office can be reached at 215-456-7890 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013533124 directly on the NPPES registry website.