Organization Active NPI

Harvest Medical Family Practice P.C.

  • Primary Care Clinic/Center
  • West Lawn, PA
National Provider Identifier
1043963150
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HARVEST MEDICAL FAMILY PRACTICE P.C.
Practice address
2211 Quarry Dr Ste E58C
West Lawn, PA 19609-1170
Phone
(484) 861-2868
Fax
(484) 861-3262
NPI assigned
Jan 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Dr. Sade Adeojo, DNP-FNP-BC
Title
Ceo
Phone
(610) 750-0526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2211 Quarry Dr Ste E58C
West Lawn, PA 19609-1170

Mailing address

2211 Quarry Dr Ste E58C
West Lawn, PA 19609-1170
Phone (484) 861-2868

Other names 1

  • Harvest Medical Family Practice P.C. Former legal business name

National Provider Directory

National Provider Directory

Locations

1179 Berkshire Blvd
Wyomissing, PA 19610

Practitioners & affiliated clinicians

Practitioners 1

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": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1043963150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 QUARRY DR STE E58C",
            "city": "WEST LAWN",
            "state": "PA",
            "postal_code": "196091170",
            "telephone_number": "484-861-2868",
            "fax_number": "484-861-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 QUARRY DR STE E58C",
            "city": "WEST LAWN",
            "state": "PA",
            "postal_code": "196091170",
            "telephone_number": "484-861-2868",
            "fax_number": "484-861-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEST MEDICAL FAMILY PRACTICE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "ADEOJO",
        "authorized_official_first_name": "DR. SADE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-750-0526",
        "authorized_official_credential": "DNP-FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harvest Medical Family Practice P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in West Lawn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.