Basic Information
Provider Information
NPI: 1447673090
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARGA-BELINKIE
FirstName: JOANNA
MiddleName: JEAN
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: PARGA
OtherFirstName: JOANNA
OtherMiddleName: JEAN
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: MD
OtherLastNameType: 1
Mailing Information
Address1: 3400 SPRUCE STREET
Address2: 8 RAVDIN
City: PHILADELPHIA
State: PA
PostalCode: 191044206
CountryCode: US
TelephoneNumber: 2156623228
FaxNumber: 2153498831
Practice Location
Address1: 3400 SPRUCE STREET
Address2: 8 RAVDIN
City: PHILADELPHIA
State: PA
PostalCode: 191044206
CountryCode: US
TelephoneNumber: 2156623228
FaxNumber: 2153498831
Other Information
ProviderEnumerationDate: 01/31/2014
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XA126030CAN Allopathic & Osteopathic PhysiciansPediatrics 
2080N0001XMD461017PAY Allopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine

No ID Information.


Home