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Jonathan Nidock, LMT
NPI 1558636043 · Specialist · Philadelphia, PA
Jonathan Nidock, LMT is a Specialist provider in Philadelphia, PA (NPI 1558636043).
Provider details
- NPI number
- 1558636043
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- MSG001159 (PA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9 E Moreland Ave
Philadelphia, PA 19118-3512
Phone: (267) 254-4712
Street-level locationGet directions
Mailing address
228 E Benezet St
Philadelphia, PA 19118-4411
Registry dates
- Enumerated
- 2012-03-15
- Last updated
- 2012-03-15
Frequently asked questions
- What is Jonathan Nidock's NPI number?
- Jonathan Nidock's National Provider Identifier (NPI) is 1558636043, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jonathan Nidock's specialty?
- Jonathan Nidock is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Jonathan Nidock located?
- Jonathan Nidock's practice location on file with NPPES is 9 E Moreland Ave, Philadelphia, PA 19118-3512.
- What is Jonathan Nidock's phone number?
- The practice phone number listed in the NPPES registry for Jonathan Nidock is (267) 254-4712.
- Is Jonathan Nidock's NPI active?
- Yes — Jonathan Nidock's NPI (1558636043) is active in the NPPES registry as of the last update on 2012-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.