| NPI | 1093969164 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2008-11-15 |
| Last Updated | 2019-07-02 |
| Mailing Address | 3175 Route 10 East, Suite 500 Denville, NJ 07834 United States Phone: (973) 891-1213 📍 View Map |
| Primary Practice Address | 2534 S. 18th Street Philadelphia, PA 19145 United States Phone: (215) 463-4363 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207Q00000X – Family Medicine | GA | 65832 |
| No | 207Q00000X – Family Medicine | NJ | 25MB08797100 |
| Yes | 207Q00000X – Family Medicine | PA | OS018158 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1093969164
Eric Jay Kaminetsky D.O., PHARM.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1093969164. The primary specialty listed is Family Medicine. The provider is located in Philadelphia, PA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-11-15. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1093969164?
NPI 1093969164 belongs to Eric Jay Kaminetsky D.O., PHARM.D., a Family Medicine in Philadelphia, PA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1093969164 active?
The current status of NPI 1093969164 in the NPPES registry is Active. The record was last updated on 2019-07-02.
What specialty is NPI 1093969164?
NPI 1093969164 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1093969164?
You can verify NPI 1093969164 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1093969164?
The primary practice address on file for NPI 1093969164 is 2534 S. 18th Street, Philadelphia, PA 19145. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1093969164 issued?
NPI 1093969164 was first issued (enumerated) on 2008-11-15. The NPPES record was last updated on 2019-07-02.
Practice Location Map
Eric Jay Kaminetsky is located at 2534 S. 18th Street, Philadelphia, PA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Eric Jay Kaminetsky. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1093969164. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | 65832 | GA |
| Family Medicine | 25MB08797100 | NJ |
| Family Medicine | OS018158 | PA |