VINE STREET MEDICAL AND ASSOCIATES
NPI 1861921389
Family Medicine - Addiction Medicine in Philadelphia, PA

Q: What is Vine Street Medical And Associates's NPI number?

The NPI number for Vine Street Medical And Associates is 1861921389. It was assigned to this organization in the NPPES registry on June 8, 2017.

Q: What is Vine Street Medical And Associates's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Active since June 08, 2017

6323 VINE ST, PHILADELPHIA, PA 19139(267) 292-5638(267) 292-5648 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Jul 21, 2022, Jun 8, 2017 (3 updates tracked since 2017).

On this page

About Vine Street Medical And Associates NPPES

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

VINE STREET MEDICAL AND ASSOCIATES (NPI 1861921389) is a healthcare organization registered as an addiction medicine in Philadelphia, Pennsylvania and active in the NPI registry since June 2017. The organization lists Shari Johnson, Admin, as its authorized official.

NPPES Registry Identity

NPI1861921389

Entity TypeOrganization

Primary Taxonomy207QA0401X

Legal Business NameVINE STREET MEDICAL AND ASSOCIATES

Location Address6323 VINE STPhiladelphia, PA 19139-1032

Mailing Address6323 Vine StPhiladelphia, PA 19139-1032 · (267) 292-5638 · Fax (267) 292-5648

Phone(267) 292-5638

Fax(267) 292-5648

Organization SubpartNo

Authorized OfficialShari JohnsonAdmin · (267) 292-5638

Enumeration DateJune 8, 2017

Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration

✔ NPI 1861921389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0401X

License✔ Licensed in PA · MD032595E

Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

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 2

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

VINE STREET MEDICAL AND ASSOCIATES

Chiropractor

6323 VINE ST
PHILADELPHIA, PA 19139

Philadelphia County (267) 292-5638

MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA

Internal Medicine

6323 VINE ST
PHILADELPHIA, PA 19139

Philadelphia County (215) 748-8303

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 Vine Street Medical And Associates's NPI number?

The NPI number for Vine Street Medical And Associates is 1861921389. It was assigned to this organization in the NPPES registry on June 8, 2017.

Where is Vine Street Medical And Associates located?

Vine Street Medical And Associates is located at 6323 Vine St, Philadelphia, PA 19139. The listed phone number is (267) 292-5638.

What is Vine Street Medical And Associates's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Vine Street Medical And Associates was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.