{"npi":"1568420495","type":"NPI-2","status":"active","name":{"display":"Philadelphia Health Associates - Adult Medicine, P.C.","other":[],"organization_name":"PHILADELPHIA HEALTH ASSOCIATES - ADULT MEDICINE, P.C.","authorised_official":"Wilbert Warren"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1740 SOUTH STREET","city":"PHILADELPHIA","state":"PA","postal_code":"191461514","country_code":"US","street_2":"SUITE 300","phone":"2157320876","fax":"2157321383"},{"purpose":"MAILING","street_1":"1740 SOUTH ST STE 402","city":"PHILADELPHIA","state":"PA","postal_code":"191461514","country_code":"US","phone":"2157320876","fax":"2157324162"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"0018443260005","state":"PA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040818000816","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"PA","pac_id":"7214900117"}]},"enumeration_date":"2006-05-02","last_updated":"2024-10-14","_meta":{"source":"NPPES","snapshot_date":"2024-10-14","doc_url":"https://findmynpi.com/api"}}