Provider Demographics
NPI:1437338712
Name:JOSEPH H HYLINSKI DPM
Entity Type:Organization
Organization Name:JOSEPH H HYLINSKI DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:H
Authorized Official - Last Name:HYLINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:215-482-7966
Mailing Address - Street 1:127 BAY HILL DR
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-3264
Mailing Address - Country:US
Mailing Address - Phone:215-482-7966
Mailing Address - Fax:215-483-5876
Practice Address - Street 1:5735 RIDGE AVE
Practice Address - Street 2:SUITE#101
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19128-1745
Practice Address - Country:US
Practice Address - Phone:215-482-7966
Practice Address - Fax:215-483-5876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-02
Last Update Date:2008-03-19
Deactivation Date:2007-12-07
Deactivation Code:
Reactivation Date:2008-01-10
Provider Licenses
StateLicense IDTaxonomies
PASC001807L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0745710001Medicare NSC