Healthcare Provider Details

I. General information

NPI: 1376814632
Provider Name (Legal Business Name): JOSEPH WOLF SCHATZ C.R.N.P
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2012
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875A N EASTON RD
GLENSIDE PA
19038-5239
US

IV. Provider business mailing address

875A N EASTON RD
GLENSIDE PA
19038-5239
US

V. Phone/Fax

Practice location:
  • Phone: 610-825-3805
  • Fax: 610-214-2431
Mailing address:
  • Phone: 610-825-3805
  • Fax: 610-214-2431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN604622
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP012327
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: