PHILADELPHIA VA MEDICAL CENTER – NPI #1114128832
Clinic/Center

PHILADELPHIA VA MEDICAL CENTER is an AHC clinic located in FORT DIX, NJ. NPPES has assigned the NPI number 1114128832 to PHILADELPHIA VA MEDICAL CENTER on May 30, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QV0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in VA

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 PHILADELPHIA VA MEDICAL CENTER below.

NPI Profile for
PHILADELPHIA VA MEDICAL CENTER

NPI Number
1114128832
Enumeration Date

(more than 19 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
PHILADELPHIA VA MEDICAL CENTER
Primary location
8TH AND ALABAMA ST
BUILDING 5437
FORT DIX, NJ 08640
Phone: (609) 562-2999 Fax:
Mailing address
834 CHESTNUT ST
APPARTMENT 732
PHILADELPHIA, PA 19107-5127
Phone: (215) 840-4223 Fax:
Organization Subpart
No
Authorized Official
MICHAEL GLIATTO
HIRING OFFICER
Phone: (215) 823-4037
Updated
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
261QV0200X
- Clinic/Center / VA (Primary)		 NJ 25MB08244700

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.