NPIMap

Prospect Health Access Network, Inc.

Organization Active NPI Neurology Physician · Chester, PA

NPI 1013364520 · NPPES record last updated Jan 15, 2021

Key facts

NPI
1013364520
Entity type
Organization (NPI type 2)
Primary specialty
Neurology Physician 2084N0400X
Legal business name
PROSPECT HEALTH ACCESS NETWORK, INC.
Practice address
1 Medical Center Blvd
Acp Ste 533
Chester, PA 19013-3902
Phone
(610) 874-1184
Fax
(610) 874-4258
NPI assigned
May 16, 2016
Organization subpart
No

Authorized official

Name
Robert Jon Elders
Title
Secretary
Phone
(714) 788-1249

Other NPIs on the same Medicare enrollment 25

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 37

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

View all 37

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20160613000737 PA Part B Supplier - Clinic/Group Practice 5698065142 Receives reassigned benefits from 730 practitioners
25 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

National Provider Directory

Locations

1553 Chester Pike
Ste 201
Crum Lynne, PA 19022
Phone (610) 499-7181

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 2084N0400X Yes

Addresses

Primary practice location

1 Medical Center Blvd
Acp Ste 533
Chester, PA 19013-3902

Mailing address

1 Medical Center Blvd
Acp Ste 533
Chester, PA 19013-3902
Phone (610) 874-1184

Other names

  • Neurological Associates of Delaware Valley Crozer Other name

Other providers in Chester, PA

All providers in Chester, PA · Neurology Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.