PATH ASSOC OF FCCC, MGI
NPI 1396019444
Pathology - Anatomic Pathology & Clinical Pathology in Philadelphia, PA

Q: What is Fox Chase Cancer Center Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Active since March 06, 2012

333 COTTMAN AVE, FOX CHASE CANCER CENTER, PHILADELPHIA, PA 19111(215) 728-3675(215) 214-3901 Get Directions Write a Review

NPPES record last updated: June 14, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Path Assoc Of Fccc, Mgi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATH ASSOC OF FCCC, MGI (NPI 1396019444) is a healthcare organization registered as an anatomic pathology & clinical pathology in Philadelphia, Pennsylvania and active in the NPI registry since March 2012. The organization maintains a secondary practice location in Philadelphia and lists Tonya Woodard, Credentialing/manager, as its authorized official.

NPPES Registry Identity

NPI1396019444

Entity TypeOrganization

Primary Taxonomy207ZP0102X

Legal Business NameFOX CHASE CANCER CENTER MEDICAL GROUP, INC

Location Address333 COTTMAN AVE, FOX CHASE CANCER CENTERPhiladelphia, PA 19111

Mailing Address2450 W Hunting Park AvePhiladelphia, PA 19129-1302 · (215) 728-3675 · Fax (215) 728-2848

Phone(215) 728-3675

Fax(215) 214-3901

Organization SubpartNo

Authorized OfficialTonya WoodardCredentialing/manager · (215) 707-3911

Enumeration DateMarch 6, 2012

Last NPPES UpdateJune 14, 2018

✔ NPI 1396019444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedPathology · CytopathologyTaxonomy 207ZC0500X

Also ListedPathology · Anatomic PathologyTaxonomy 207ZP0101X

333 COTTMAN AVE, Philadelphia, PA 19111

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Other Names 1

Doing Business AsPath Assoc Of Fccc, Mgi

Secondary Practice Location 1

Location 17600 Central AvePhiladelphia, PA 19111-2442 · Phone (215) 728-3675 · Fax (215) 214-3901

Other Identifiers 2

Medicaid1026888280020PA

Medicaid1026888280026PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FOX CHASE CANCER CENTER MEDICAL GROUP, INC.

Anesthesiology

333 COTTMAN AVE, MED STAFF OFFICE
PHILADELPHIA, PA 19111

Philadelphia County (215) 728-6900

JAMES SUN MD

Surgery (Surgical Oncology)

333 COTTMAN AVE
PHILADELPHIA, PA 19111

Philadelphia County (215) 854-9799

MS. MALA T KAILASAM MD

Internal Medicine

333 COTTMAN AVE, FOX CHASE CANCER CENTER
PHILADELPHIA, PA 19111

Philadelphia County (215) 728-6900

HEALTH SERVICES OF FOX CHASE CANCER CTR.

Radiology (Diagnostic Radiology)

333 COTTMAN AVE, RADIOLOGY ASSOCIATES OF FCCC
PHILADELPHIA, PA 19111

Philadelphia County (215) 728-6900

ELENA DREYZIN PA-C

Physician Assistant

333 COTTMAN AVE
PHILADELPHIA, PA 19111

Philadelphia County (888) 369-2427

FREWEINI TESFALEDET PA

Physician Assistant

333 COTTMAN AVE
PHILADELPHIA, PA 19111

Philadelphia County (215) 728-6900

MARIUSZ A WASIK MD

Pathology (Anatomic Pathology)

333 COTTMAN AVE
PHILADELPHIA, PA 19111

Philadelphia County (215) 728-3675

DR. BARBARA C. CAVANAUGH M.D.

Radiology (Diagnostic Radiology)

333 COTTMAN AVE
PHILADELPHIA, PA 19111

Philadelphia County (215) 728-3883

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fox Chase Cancer Center Medical Group, Inc's NPI number?

The NPI number for Fox Chase Cancer Center Medical Group, Inc is 1396019444. It was assigned to this organization in the NPPES registry on March 6, 2012. The provider is doing business as Path Assoc Of Fccc, Mgi.

Where is Fox Chase Cancer Center Medical Group, Inc located?

Fox Chase Cancer Center Medical Group, Inc is located at 333 Cottman Ave Fox Chase Cancer Center, Philadelphia, PA 19111. The listed phone number is (215) 728-3675.

What is Fox Chase Cancer Center Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

When was this NPI record last updated?

The NPPES record for Fox Chase Cancer Center Medical Group, Inc was last updated on June 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.