OrganizationActive
Fademos Family Practice
NPI 1801138896 · Primary Care Clinic/Center · Philadelphia, PA
Provider details
- NPI number
- 1801138896
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mariam Salahou, Ceo/Clinical Director(215) 613-5069
- License
- SP008704 (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
16 Old Ashton Rd Ste 1
Philadelphia, PA 19152-1661
Phone: (215) 613-5069
Fax: (215) 613-6809
Approximate (ZIP-level) locationGet directions
Mailing address
16 Old Ashton Rd Ste 1
Philadelphia, PA 19152-1661
Registry dates
- Enumerated
- 2013-03-18
- Last updated
- 2013-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.