Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fountain Medical Associates P C

Organization Family Medicine Physician · NPI 1215257837

Fountain Medical Associates P C is a Family Medicine Physician in Philadelphia, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2010

Practice location Address checks out

22 E Mount Airy Ave
Philadelphia, PA 19119
Phone: (215) 924-2440
Fax: (267) 437-2346
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1335 W Tabor Rd, Philadelphia, PA 19141-3038 — (215) 924-2440

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD428070 (PA)

Record details

NPI number1215257837
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Safiyya Shabazz — Medical Director · (215) 924-2440
NPI enumeratedJune 4, 2010
Last updated in NPPESJuly 27, 2018
Mailing address22 E Mount Airy Ave, Philadelphia, PA 19119-1712

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