FRUITION MEDICINE – NPI #1356169619
Clinic/Center

FRUITION MEDICINE is an AHC clinic located in PHILADELPHIA, PA. NPPES has assigned the NPI number 1356169619 to FRUITION MEDICINE on September 26, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FRUITION MEDICINE” is a dba name, the actual legal business name for this organization is FRUITION MEDICINE PLLC. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Nov 29, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FRUITION MEDICINE below.

NPI Profile for
FRUITION MEDICINE PLLC

NPI Number
1356169619
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FRUITION MEDICINE PLLC
Doing Business As (dba): FRUITION MEDICINE
Other name(s)
All associated names:
Doing Business As (dba)
Fishtown Medicine
Doing Business As (dba)
Fruition Medicine
Primary location
2418 E YORK ST
PHILADELPHIA, PA 19125-3006
Phone: (267) 360-7927 Fax: (215) 267-9781
1 Other location(s):
525 Route 73 N Ste 117
Marlton, NJ 08053-3422
Phone: (267) 360-7927
Fax: (215) 267-9781
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ASHVIN VIJAYAKUMAR
FOUNDER/PHYSICIAN
Phone: (267) 360-7927
Updated
Certification Date
Nov 29, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)
261QC1800X
- Clinic/Center / Corporate Health
261QC1500X
- Clinic/Center / Community Health
261Q00000X
- Clinic/Center
207RA0401X
- Internal Medicine / Addiction Medicine
207R00000X
- Internal Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
SECURE EMAIL
Content Type
Affiliation
N
Endpoint Location
2418 E YORK ST,
PHILADELPHIA, PA 77025-1669