Individual provider Active NPI

Catherine Kazanjian, CRNP

  • Primary Care Nurse Practitioner
  • Bala Cynwyd, PA
National Provider Identifier
1003363235
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP016542 Issued in PA
Practice address
333 E City Ave Ste Il27
Bala Cynwyd, PA 19004
Phone
(610) 668-9999
NPI assigned
Sep 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X SP016542 PA Primary

Addresses

Primary practice location

333 E City Ave Ste Il27
Bala Cynwyd, PA 19004

Mailing address

333 E City Ave Ste Il27
Bala Cynwyd, PA 19004-1508
Phone (610) 668-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161005002311 PA Practitioner - Nurse Practitioner 7618265752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Penn Medicine-PmaGroup PAC ID 6507269370, 55 clinicians

Practice addresses (Care Compare)

9 N Brookside Rd
Springfield, PA 19064-2527
Phone (610) 543-5400

Hospital & facility affiliations

  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195
  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223
  • Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139
  • Pennsylvania Hospital Hospital, Philadelphia, PA, CCN 390226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Aug 27, 2018 Accepting new patients
Penn Medicine-Pma CurrentSince Dec 15, 2024 Accepting new patients
Penn Medicine-Pma CurrentSince Dec 15, 2024 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Aug 27, 2018 Accepting new patients

Locations

150 Monument Rd
Ste 400
Bala Cynwyd, PA 19004
Phone (610) 747-3470

333 E City Ave
Ste IL27
Bala Cynwyd, PA 19004
Phone (610) 664-5156

301 W Chester Pike
Ste 201
Havertown, PA 19083
Phone (610) 853-2900

9 N Brookside Rd
Springfield, PA 19064
Phone (610) 543-5300

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Interoperability endpoints

  • FHIR API: https://ssproxy.pennhealth.com/PRD-FHIR/api/FHIR/R4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1003363235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E CITY AVE STE IL27",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041508",
            "telephone_number": "610-668-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E CITY AVE STE IL27",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "19004",
            "telephone_number": "610-668-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZANJIAN",
        "first_name": "CATHERINE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP016542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

Verify at the official NPI Registry.