Individual provider Active NPI

Tony Coplin

  • Homemaker
  • Philadelphia, PA
National Provider Identifier
1003510439
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
68953601 Issued in PA
Practice address
5334 N Sydenham St
Philadelphia, PA 19141-1620
Phone
(267) 734-6853
NPI assigned
Mar 29, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 68953601 PA
Homemaker 376J00000X 68953601 PA Primary
Nurse's Aide 376K00000X 68953601 PA

Addresses

Primary practice location

5334 N Sydenham St
Philadelphia, PA 19141-1620

Mailing address

5334 N Sydenham St
Philadelphia, PA 19141-1620
Phone (267) 734-6853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
68953601PAMDRespite Care

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1003510439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5334 N SYDENHAM ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191411620",
            "telephone_number": "267-734-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5334 N SYDENHAM ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191411620",
            "telephone_number": "267-734-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPLIN",
        "first_name": "TONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "PA",
            "license": "68953601",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "PA",
            "license": "68953601",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "PA",
            "license": "68953601",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.