DR. VINCENT N TISA D.P.M.
NPI 1851331391
Podiatrist in Philadelphia, PA

Q: What is Vincent Tisa's NPI number?

The NPI number for Vincent Tisa is 1851331391. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Q: What is Vincent Tisa's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for Vincent Tisa was last updated on April 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 06, 2006

2401 S BROAD ST, PHILADELPHIA, PA 19148(215) 389-7774(215) 389-0443 Get Directions Write a Review

NPPES record last updated: April 20, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Vincent N Tisa D.p.m. NPPES

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

DR. VINCENT N TISA D.P.M. (NPI 1851331391) is an individual podiatrist in Philadelphia, Pennsylvania, licensed in Pennsylvania (SC001399L) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1851331391

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameDR. VINCENT N TISACredential: D.P.M.

Location Address2401 S BROAD STPhiladelphia, PA 19148-3508

Mailing Address2401 S Broad StPhiladelphia, PA 19148-3508 · (215) 389-7774 · Fax (215) 389-0443

Phone(215) 389-7774

Fax(215) 389-0443

Sole ProprietorYes

Enumeration DateJune 6, 2006

Last NPPES UpdateApril 20, 2016

✔ NPI 1851331391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in PA · SC001399L

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

2401 S BROAD ST, Philadelphia, PA 19148

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Other Identifiers 1

Medicare UPINT28027PA

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 Vincent Tisa's NPI number?

The NPI number for Vincent Tisa is 1851331391. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Vincent Tisa located?

Vincent Tisa practices at 2401 S Broad St, Philadelphia, PA 19148. The listed phone number is (215) 389-7774.

What is Vincent Tisa's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Vincent Tisa was last updated on April 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.