Provider Demographics
NPI:1891971800
Name:GREATER NE FAMILY PRACTICE INC
Entity Type:Organization
Organization Name:GREATER NE FAMILY PRACTICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NADEEM
Authorized Official - Middle Name:ASHIQ
Authorized Official - Last Name:PAROYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-857-3445
Mailing Address - Street 1:3149 E LINCOLN HWY
Mailing Address - Street 2:SUITE C
Mailing Address - City:THORNDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19372-1129
Mailing Address - Country:US
Mailing Address - Phone:610-857-3445
Mailing Address - Fax:484-318-2303
Practice Address - Street 1:3149 E LINCOLN HWY
Practice Address - Street 2:SUITE C
Practice Address - City:THORNDALE
Practice Address - State:PA
Practice Address - Zip Code:19372-1129
Practice Address - Country:US
Practice Address - Phone:610-857-3445
Practice Address - Fax:484-318-2303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-21
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD422340207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1968047Medicaid
PA1968047Medicaid
PAH95528Medicare UPIN