Individual provider Active NPI

Elizabeth Bemah, FNP

  • Family Nurse Practitioner
  • Camden, NJ
National Provider Identifier
1023635505
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01033000 Issued in NJ
Practice address
330 Federal St
Camden, NJ 08103-1121
Phone
(215) 694-9670
NPI assigned
Jun 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01033000 NJ Primary

Addresses

Primary practice location

330 Federal St
Camden, NJ 08103-1121

Mailing address

4302 Rhawn St
Philadelphia, PA 19136-2717
Phone (267) 981-4827

Other identifiers 1

IdentifierTypeStateIssuer
26NJ01033000OtherNON-MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Laptop Health Information Exchange (HIE)

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
I20210216001022 PA Practitioner - Nurse Practitioner 8729493242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahpaffs,LLCGroup PAC ID 5799070306, 9 clinicians

Practice addresses (Care Compare)

5000 Frankford Ave D
Philadelphia, PA 19124-2620
Phone (267) 819-1500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01033000NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eldacare Home Health Services, Inc. PastSince Oct 4, 2020 Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Eldacare Home Health Services, Inc.Philadelphia, PA, CCN 398349 Home health agency Corporate Officer
Corporate Director
Aug 25, 2020
Aug 25, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1023635505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 RHAWN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191362717",
            "telephone_number": "267-981-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 FEDERAL ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031121",
            "telephone_number": "215-694-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEMAH",
        "first_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01033000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON-MEDICARE",
            "identifier": "26NJ01033000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "endpointDescription": "Medical Information",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Medical Information",
            "address_1": "330 Federal St",
            "city": "Camden",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081031121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.