Active NPIIndividual provider

Stacey L Ackerman, MD

Ophthalmology in Philadelphia, Pennsylvania

NPI Number1508868498
Practice location
1930 S Broad St Unit 9, Philadelphia, PA 19145-2328
Fax
215-339-8103
Last updated
January 13, 2020

Stacey L Ackerman is an Ophthalmology based in Philadelphia, PA. Stacey L Ackerman practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Stacey L Ackerman is 1508868498 and holds a License No. MD031968E (PA). The current practice location address for Stacey L Ackerman is 1930 S Broad St Unit 9, Philadelphia, PA 19145-2328 and can be reached out via phone at 215-339-8100 and via fax at 215-339-8103.

Provider Profile Details

NPI Number
1508868498
Provider Name
Stacey L Ackerman
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1930 S Broad St Unit 9, Philadelphia, PA 19145-2328
Phone Number
215-339-8100
Fax Number
215-339-8103
Primary Taxonomy
Ophthalmology · 207W00000X
Sole Proprietor
No
Provider Enumeration Date
August 11, 2005
Last Update Date
January 13, 2020
Certification Date
January 13, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1930 S Broad St Unit 9
Philadelphia, PA 19145-2328
Zip
19145-2328
Phone Number
215-339-8100
Fax Number
215-339-8103
Philadelphia, PA 19145Get directions →

Provider Business Mailing Address Details

Address
1930 S Broad St Unit 9
Philadelphia, PA 19145-2328
City
Philadelphia
State
PA
Zip
19145-2328
Phone Number
215-339-8100
Fax Number
215-339-8103

License Information

License Number (1)
MD031968E
License State (1)
PA
Taxonomy (1)
Ophthalmology · 207W00000X · Primary
License Number (2)
25MA04606000
License State (2)
NJ
Taxonomy (2)
Ophthalmology · 207W00000X

Legacy Identifiers

IdentifierTypeStateIssuer
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 Stacey L Ackerman, MD?

The NPI number of Stacey L Ackerman, MD is 1508868498. It was assigned on August 11, 2005 and is currently active in the NPPES registry.

What is the specialty of Stacey L Ackerman, MD?

Stacey L Ackerman, MD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in PA under license number MD031968E.

Where does Stacey L Ackerman, MD practice?

The practice location is 1930 S Broad St Unit 9, Philadelphia, PA 19145-2328. The office can be reached at 215-339-8100 (phone) or 215-339-8103 (fax).

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 1508868498 directly on the NPPES registry website.

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