Individual provider Active NPI

Enjoli Rogers

  • Women's Health Nurse Practitioner
  • Exton, PA
National Provider Identifier
1073003760
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
SP018725 Issued in PA
Practice address
495 Thomas Jones Way Ste 210
Exton, PA 19341-2553
Phone
(610) 280-3636
NPI assigned
May 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X SP018725 PA Primary

Addresses

Primary practice location

495 Thomas Jones Way Ste 210
Exton, PA 19341-2553

Mailing address

1337 Kimberly Dr
Philadelphia, PA 19151-2834
Phone (215) 385-4491

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
I20190108000950 PA Practitioner - Nurse Practitioner 4789920083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

1101 Market St
FL 19
Philadelphia, PA 19107-2926

2130 Spring Garden St
FL 1
Philadelphia, PA 19130-3502
Phone (215) 955-9555

925 Chestnut St
Philadelphia, PA 19107-4204

925 Chestnut St
Suite 3
Philadelphia, PA 19107-4216
Phone (215) 955-8874

Hospital & facility affiliations

  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan, Inc. CurrentSince Jun 24, 2020 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jun 24, 2020 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Jefferson University Physicians CurrentSince Sep 30, 2022 Accepting new patients
Jefferson University Physicians Past Accepting new patients

Locations

833 Chestnut St
Frnt 1
Philadelphia, PA 19107
Phone (215) 955-5000

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

5401 Old York Rd
#B
Philadelphia, PA 19141
Phone (215) 324-3399

2130 Spring Garden St
Fl 1
Philadelphia, PA 19130
Phone (215) 955-9555

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

5401 Old York Rd
Ste 505
Philadelphia, PA 19141
Phone (215) 456-6933

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1073003760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 KIMBERLY DR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512834",
            "telephone_number": "215-385-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 THOMAS JONES WAY STE 210",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412553",
            "telephone_number": "610-280-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "ENJOLI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP018725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

Verify at the official NPI Registry.