Active NPIOrganization

Advanced Family Medicine PC

Clinic/Center, Primary Care in Philadelphia, Pennsylvania

NPI Number1790979870
Practice location
14200 Bustleton Ave, Suite 4, Philadelphia, PA 19116-1186
Fax
215-671-8114
Last updated
June 6, 2025

Advanced Family Medicine PC is a healthcare organization based in Philadelphia, PA. Advanced Family Medicine PC practices in Philadelphia, PA. The NPI Number for Advanced Family Medicine PC is 1790979870 and holds a License No. OS010564L (PA). The current practice location address for Advanced Family Medicine PC is 14200 Bustleton Ave, Suite 4, Philadelphia, PA 19116-1186 and can be reached out via phone at 215-671-0900 and via fax at 215-671-8114.

Provider Profile Details

NPI Number
1790979870
Provider Name
Advanced Family Medicine PC
Provider Entity Type
Organization
Address
14200 Bustleton Ave, Suite 4, Philadelphia, PA 19116-1186
Phone Number
215-671-0900
Fax Number
215-671-8114
Primary Taxonomy
Clinic/Center, Primary Care · 261QP2300X
Organization Subpart
No
Authorized Official
Dr. Alexander Tarnopolsky, DO · Physician · 267-242-7993
Provider Enumeration Date
August 31, 2007
Last Update Date
June 6, 2025
Certification Date
June 6, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
14200 Bustleton Ave
Suite 4
Philadelphia, PA 19116-1186
Zip
19116-1186
Phone Number
215-671-0900
Fax Number
215-671-8114
Philadelphia, PA 19116Get directions →

Provider Business Mailing Address Details

Address
14200 Bustleton Ave
Suite 4
Philadelphia, PA 19116-1186
City
Philadelphia
State
PA
Zip
19116-1186
Phone Number
215-671-0900
Fax Number
215-671-8114

License Information

License Number
OS010564L
License State
PA
Taxonomy
Clinic/Center, Primary Care · 261QP2300X · Primary

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 Advanced Family Medicine PC?

The NPI number of Advanced Family Medicine PC is 1790979870. It was assigned on August 31, 2007 and is currently active in the NPPES registry.

What is the specialty of Advanced Family Medicine PC?

Advanced Family Medicine PC is registered under the primary taxonomy Clinic/Center, Primary Care (code 261QP2300X), licensed in PA under license number OS010564L.

Where does Advanced Family Medicine PC practice?

The practice location is 14200 Bustleton Ave, Suite 4, Philadelphia, PA 19116-1186. The office can be reached at 215-671-0900 (phone) or 215-671-8114 (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 1790979870 directly on the NPPES registry website.

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