1487884912 NPI number — NEW HARMONY INTEGRATED MEDICINE, P.C.

Table of content: (NPI 1487884912)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487884912 NPI number — NEW HARMONY INTEGRATED MEDICINE, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW HARMONY INTEGRATED MEDICINE, P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487884912
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/27/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
804 BIRCH FIELD CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WEXFORD
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15090-8780
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-772-8048
Provider Business Mailing Address Fax Number:
724-934-1867

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8001 ROWAN RD STE 217
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CRANBERRY TWP
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16066-3618
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
172-477-2804
Provider Business Practice Location Address Fax Number:
724-934-1867
Provider Enumeration Date:
07/17/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ZHU
Authorized Official First Name:
CHONGXUE
Authorized Official Middle Name:
Authorized Official Title or Position:
O.M.D., M.S.
Authorized Official Telephone Number:
724-772-8048

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  DC001446L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 171100000X , with the licence number: OM000019 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1255307427 . This is a "NPI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1619962438 . This is a "NPI" identifier . This identifiers is of the category "OTHER".
  • Identifier: DC001446L . This is a "LICENCE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: OM000019 . This is a "LICENSE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: MD037698L . This is a "LICENSE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1184830416 . This is a "NPI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 001793550 . This is a "HIGHMARK CREDENCIAL" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".