NPIMap

Organization Active NPI

Asociacion de Puertorriquenos En Marcha, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Philadelphia, PA
National Provider Identifier
1003093121
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
134920 Issued in PA
Legal business name
ASOCIACION DE PUERTORRIQUENOS EN MARCHA, INC.
Practice address
2921 N 5TH St
Philadelphia, PA 19133-2800
Phone
(215) 259-3373
Fax
(267) 329-9728
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Nilda Ruiz
Title
Executive Director
Phone
(267) 296-7200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 134920 PA Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

2921 N 5TH St
Philadelphia, PA 19133-2800

Mailing address

4301 Rising Sun Ave
Philadelphia, PA 19140-2719
Phone (267) 296-7220

Other practice location 1

4301 Rising Sun Ave
Philadelphia, PA 19140-2719
Phone (267) 296-7220

Other practice location 2

3169 N 5th St
Philadelphia, PA 19133-2823
Phone (267) 798-7550

Other practice location 3

110 E Allegheny Ave
Philadelphia, PA 19134-2207
Phone (267) 798-7560

Other identifiers 2

IdentifierTypeStateIssuer
1003114240021MedicaidPA
1003093121MedicaidPA

Other names 1

  • APM Mental Health Psychiatric Outpatient Clinics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Philadelphia Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040607000439 PA Part B Supplier - Clinic/Group Practice 7214919877 Receives reassigned benefits from 2 practitioners
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory
Tax ID family
Asociacion de Puertorri7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1900 N 9th St
Ste 102
Philadelphia, PA 19122

112 E Allegheny Ave
Philadelphia, PA 19134
Phone (215) 575-5199

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1003093121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 RISING SUN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191402719",
            "telephone_number": "267-296-7220",
            "fax_number": "215-324-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191332800",
            "telephone_number": "215-259-3373",
            "fax_number": "267-329-9728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 Rising Sun Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191402719",
            "country_code": "US",
            "telephone_number": "267-296-7220",
            "fax_number": "215-324-1077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3169 N 5th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191332823",
            "country_code": "US",
            "telephone_number": "267-798-7550",
            "fax_number": "267-296-7294",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 E Allegheny Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191342207",
            "country_code": "US",
            "telephone_number": "267-798-7560",
            "fax_number": "267-332-5418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASOCIACION DE PUERTORRIQUENOS EN MARCHA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "NILDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "267-296-7200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "134920",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003114240021",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003093121",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Philadelphia",
            "affiliation": "N",
            "endpointDescription": "Electronic health record",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Philadelphia",
            "address_1": "4301 Rising Sun Ave",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191402719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "APM Mental Health Psychiatric Outpatient Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.