PHILADELPHIA FAMILY MEDICAL ASSOCIATES
NPI 1861434680
Family Medicine in Philadelphia, PA

Active since June 13, 2006CLIA 39D2048589 · Waiver
4702 N 5TH ST, PHILADELPHIA, PA 19120(215) 329-4888(215) 329-5615 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Philadelphia Family Medical Associates NPPES

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

PHILADELPHIA FAMILY MEDICAL ASSOCIATES (NPI 1861434680) is a healthcare organization registered as a family medicine in Philadelphia, Pennsylvania and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through October 18, 2026 and lists Brian Walsh, President, as its authorized official.

NPPES Registry Identity

NPI1861434680
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHILADELPHIA FAMILY MEDICAL ASSOCIATES
Location Address4702 N 5TH STPhiladelphia, PA 19120-4108
Mailing Address4702 N 5th StPhiladelphia, PA 19120-4108 · (215) 329-4888 · Fax (215) 329-5615
Fax(215) 329-5615
Organization SubpartNo
Authorized OfficialBrian WalshPresident · (215) 329-4888
Enumeration DateJune 13, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1861434680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · OS006489L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4702 N 5TH ST, Philadelphia, PA 19120

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 of Waiver 39D2048589

Philadelphia Family Medical Assoc · Philadelphia, PA
Active · expires Oct 18, 2026
CLIA Number39D2048589
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2024
Certificate Expiration DateOctober 18, 2026
Laboratory DirectorDr. Brian Walsh Do
Laboratory Phone(215) 329-4888
Laboratory LocationPhiladelphia Family Medical Assoc4702 N 5th St, Philadelphia, PA 19120
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Family Medicine
4702 N 5TH ST
PHILADELPHIA, PA 19120

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 Family Medical Associates's NPI number?

The NPI number for Philadelphia Family Medical Associates is 1861434680. It was assigned to this organization in the NPPES registry on June 13, 2006.

Where is Philadelphia Family Medical Associates located?

Philadelphia Family Medical Associates is located at 4702 N 5th St, Philadelphia, PA 19120. The listed phone number is (215) 329-4888.

What is Philadelphia Family Medical Associates's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Philadelphia Family Medical Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2048589) is associated with this NPI, valid through October 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Philadelphia Family Medical Associates was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.