Individual provider Active NPI

Gelena Itkin, PHARMD

  • Health Educator
  • Philadelphia, PA
National Provider Identifier
1063898047
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
10890 Bustleton Ave Ste 211
Philadelphia, PA 19116-3366
Phone
(215) 677-3299
Fax
(215) 677-9811
NPI assigned
Jul 31, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP446287 PA
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X PA Primary

Addresses

Primary practice location

10890 Bustleton Ave Ste 211
Philadelphia, PA 19116-3366

Mailing address

2101 Market St Unit 2906
Philadelphia, PA 19103-1366
Phone (215) 651-4834

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP446287PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nursing Home Care Management Inc., Health Educator CurrentSince Mar 1, 2026 Accepting new patients

Locations

10890 Bustleton Ave
Ste 211
Philadelphia, PA 19116
Phone (215) 383-0797

Organizations & group practices 1

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": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1063898047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 MARKET ST UNIT 2906",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031366",
            "telephone_number": "215-651-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10890 BUSTLETON AVE STE 211",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163366",
            "telephone_number": "215-677-3299",
            "fax_number": "215-677-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITKIN",
        "first_name": "GELENA",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-31",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP446287",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "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 Feb 18, 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.