Prohealth Leaders LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PROHEALTH LEADERS LLC

Practice address

9963 Bustleton Ave
Philadelphia, PA 19115-1557

Phone

(215) 464-2753

Fax

(215) 464-4738

NPI assigned

Dec 21, 2017

Last updated

Jan 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anitha George, CRNP

Title

Member

Phone

(215) 464-2753

Specialties & licenses 3

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19095/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Prasad Aloni, FNP-C

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1336963370
  NPD

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1053827485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9715 JEANES ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151901",
            "telephone_number": "215-464-2753",
            "fax_number": "215-464-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9963 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151557",
            "telephone_number": "215-464-2753",
            "fax_number": "215-464-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH LEADERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "ANITHA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "215-464-2753",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Progressive Rehab Group P.C.
• Progressive Rehab, LLC
• Progressive Rehab, LLC
• Progressive Vision Institute of Philadelphia, PC
• Prohealth Home Care Inc
• Prohealth Pharmacy Corp
• Project 4Ever Striving Inc.
• Project Ability, LLC
• Project Home (Project HOME - Prevention Point)
• Project Home

• Internal Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.