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PHILADELPHIA FIGHT
NPI 1487082608
Clinic/Center - Federally Qualified Health Center (FQHC) in Philadelphia, PA

Active since October 25, 2013CLIA 39D0933235 · Microscopy
1233 LOCUST ST FL 4, PHILADELPHIA, PA 19107(215) 790-1788(215) 732-5490 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2022, Mar 17, 2018, Feb 15, 2018 and 1 more (4 updates tracked since 2018).

About Philadelphia Fight NPPES

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

PHILADELPHIA FIGHT (NPI 1487082608) is a healthcare organization registered as a federally qualified health center (fqhc) in Philadelphia, Pennsylvania and active in the NPI registry since October 2013. The organization holds a CLIA Microscopy certificate valid through March 9, 2028, maintains 6 additional practice locations, and lists Jose J Virella, Cfo, as its authorized official.

NPPES Registry Identity

NPI1487082608
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePHILADELPHIA FIGHT
Location Address1233 LOCUST ST FL 4Philadelphia, PA 19107-5459
Mailing Address1233 Locust St Fl 3Philadelphia, PA 19107-5400 · (215) 985-4448 · Fax (215) 732-1145
Phone(215) 790-1788
Fax(215) 732-5490
Organization SubpartNo
Authorized OfficialJose J VirellaCfo · (917) 842-3011
Enumeration DateOctober 25, 2013
Last NPPES UpdateNovember 3, 20224 updates tracked since enumeration
NPPES CertifiedNovember 3, 2022
✔ NPI 1487082608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1233 LOCUST ST FL 4, Philadelphia, PA 19107
Open in Google Maps ↗

Secondary Practice Locations 6

Location 11211 Chestnut St Fl 6Philadelphia, PA 19107-4103 · Phone (215) 985-4448
Location 21207 Chestnut St Fl 3Philadelphia, PA 19107-4131 · Phone (267) 725-0252 · Fax (215) 732-1046
Location 31207 Chestnut St Fl 4Philadelphia, PA 19107-4131 · Phone (215) 525-3046 · Fax (215) 567-1617
Location 4315 S Broad StPhiladelphia, PA 19107-5213 · Phone (267) 725-0252 · Fax (215) 732-1046
Location 51233 Locust St Fl 4Philadelphia, PA 19107-5459 · Phone (215) 790-1788 · Fax (215) 732-5490
Location 61207 Chestnut St Fl 5Philadelphia, PA 19107-4131 · Phone (215) 525-8600 · Fax (215) 564-8606

Other Identifiers 1

Medicaid100747222PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 39D0933235

Philadelphia Fight · Philadelphia, PA
Active · expires Mar 9, 2028
CLIA Number39D0933235
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 10, 2026
Certificate Expiration DateMarch 9, 2028
Laboratory DirectorDr. Karam C. Mounzer
Laboratory Phone(215) 984-4448
Laboratory LocationPhiladelphia Fight1233 Locust Street, Philadelphia, PA 19107
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

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

STACEY TROOSKIN MD
Internal Medicine (Infectious Disease)
1233 LOCUST ST FL 4
PHILADELPHIA, PA 19107
Philadelphia County (215) 790-1788
DR. ROSEANNE KOSLIN CANTOR PSYD
Psychologist (Clinical)
1233 LOCUST ST FL 4
PHILADELPHIA, PA 19107
Philadelphia County (215) 790-1788
KARAM C MOUNZER MD
Internal Medicine (Infectious Disease)
1233 LOCUST ST FL 4
PHILADELPHIA, PA 19107
Philadelphia County (215) 790-1788
ELIZABETH W SCHMIDT MSN, CRNP
Nurse Practitioner (Primary Care)
1233 LOCUST ST FL 4
PHILADELPHIA, PA 19107
Philadelphia County (215) 790-1788
MISS KIMBERLY BURKHARDT RD
Nurse Practitioner (Family)
1233 LOCUST ST FL 4
PHILADELPHIA, PA 19107
Philadelphia County (215) 790-1788
DR. LANELTA R NOBLES PHARM D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1233 LOCUST ST FL 4
PHILADELPHIA, PA 19107
Philadelphia County (215) 790-1788
PHILADELPHIA FIGHT
Internal Medicine
1233 LOCUST ST FL 4
PHILADELPHIA, PA 19107
Philadelphia County (215) 985-4448

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 Philadelphia Fight's NPI number?

The NPI number for Philadelphia Fight is 1487082608. It was assigned to this organization in the NPPES registry on October 25, 2013.

Where is Philadelphia Fight located?

Philadelphia Fight is located at 1233 Locust St Fl 4, Philadelphia, PA 19107. The listed phone number is (215) 790-1788.

What is Philadelphia Fight's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Philadelphia Fight hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 39D0933235) is associated with this NPI, valid through March 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Philadelphia Fight accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Philadelphia Fight as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Philadelphia Fight was last updated on November 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.