Prospect Health Access Network, Inc.

Key facts

NPI: 1083061006
Entity type: Organization (NPI type 2)
Primary specialty: Physical Medicine & Rehabilitation Physician 208100000X
Legal business name: PROSPECT HEALTH ACCESS NETWORK, INC.
Practice address: 485 Baltimore Pike
Suite 202
Glen Mills, PA 19342-1161
Phone: (610) 588-9222
Fax: (610) 588-9033
NPI assigned: May 19, 2016
Organization subpart: No

Authorized official

Name: Robert Jon Elders
Title: Secretary
Phone: (714) 788-1249

Other NPIs on the same Medicare enrollment 25

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Prospect Health Access Network, Inc. Neurology Physician · Chester, PA · NPI 1013364520

Same enrollment O20160613000737
Prospect Health Access Network, Inc. Transplant Surgery Physician · Chester, PA · NPI 1013364538

Same enrollment O20160613000737
Prospect Health Access Network, Inc. Gastroenterology Physician · Chester, PA · NPI 1104273614

Same enrollment O20160613000737
Prospect Health Access Network, Inc. Gynecologic Oncology Physician · Chester, PA · NPI 1134574775

Same enrollment O20160613000737
Prospect Health Access Network, Inc. Diagnostic Radiology Physician · Chester, PA · NPI 1154776797

Same enrollment O20160613000737
Prospect Health Access Network, Inc. Maternal & Fetal Medicine Physician · Chester, PA · NPI 1154777837

Same enrollment O20160613000737
Prospect Health Access Network, Inc. Hospitalist Physician · Ridley Park, PA · NPI 1235584731

Same enrollment O20160613000737
Prospect Health Access Network, Inc. Obstetrics & Gynecology Physician · Drexel Hill, PA · NPI 1255786729

Same enrollment O20160613000737
Prospect Health Access Network, Inc. Anatomic Pathology & Clinical Pathology Physician · Chester, PA · NPI 1285081703

Same enrollment O20160613000737
Prospect Health Access Network, Inc. Neonatal-Perinatal Medicine Physician · Chester, PA · NPI 1477900991

Same enrollment O20160613000737
Prospect Health Access Network, Inc. Pediatric Adolescent Medicine Physician · Chester, PA · NPI 1487001996

Same enrollment O20160613000737
Prospect Health Access Network, Inc. Sports Medicine (Family Medicine) Physician · Springfield, PA · NPI 1528413002

Same enrollment O20160613000737
Prospect Health Access Network, Inc. Emergency Medicine Physician · Chester, PA · NPI 1568819084

Same enrollment O20160613000737
Prospect Health Access Network, Inc. Geriatric Medicine (Family Medicine) Physician · Crum Lynne, PA · NPI 1619322112

Same enrollment O20160613000737
Prospect Health Access Network, Inc. Obstetrics & Gynecology Physician · Chester, PA · NPI 1649627167

Same enrollment O20160613000737
Prospect Health Access Network, Inc. Obstetrics & Gynecology Physician · Chester, PA · NPI 1659728160

Same enrollment O20160613000737
Prospect Health Access Network, Inc. Infectious Disease Physician · Drexel Hill, PA · NPI 1659728178

Same enrollment O20160613000737
Prospect Health Access Network, Inc. Psychiatry Physician · Chester, PA · NPI 1700231297

Same enrollment O20160613000737
Prospect Health Access Network, Inc. Reproductive Endocrinology Physician · Chester, PA · NPI 1730536251

Same enrollment O20160613000737
Prospect Health Access Network, Inc. Cardiovascular Disease Physician · Ridley Park, PA · NPI 1740637255

Same enrollment O20160613000737
Prospect Health Access Network, Inc. Pediatrics Physician · Chester, PA · NPI 1780031005

Same enrollment O20160613000737
Prospect Health Access Network, Inc. Endocrinology, Diabetes & Metabolism Physician · Springfield, PA · NPI 1871948414

Same enrollment O20160613000737
Prospect Health Access Network, Inc. Internal Medicine Physician · Chester, PA · NPI 1912354432

Same enrollment O20160613000737
Prospect Health Access Network, Inc. Surgery Physician · Chester, PA · NPI 1922455443

Same enrollment O20160613000737
Prospect Health Access Network, Inc. Urology Physician · Drexel Hill, PA · NPI 1982152294

Same enrollment O20160613000737

Corporate family (same tax ID) 13

Organizations that report the same tax identification number in the National Provider Directory.

Prospect Health Access Network, Inc. Transplant Surgery Physician · Chester, PA · NPI 1013364538

NPD tax ID
Prospect Health Access Network, Inc. Gynecologic Oncology Physician · Chester, PA · NPI 1134574775

NPD tax ID
Prospect Health Access Network, Inc. Maternal & Fetal Medicine Physician · Chester, PA · NPI 1154777837

NPD tax ID
Prospect Health Access Network, Inc. Hospitalist Physician · Ridley Park, PA · NPI 1235584731

NPD tax ID
Prospect Health Access Network, Inc. Anatomic Pathology & Clinical Pathology Physician · Chester, PA · NPI 1285081703

NPD tax ID
Prospect Health Access Network, Inc. Pediatric Adolescent Medicine Physician · Chester, PA · NPI 1487001996

NPD tax ID
Prospect Health Access Network, Inc. Sports Medicine (Family Medicine) Physician · Springfield, PA · NPI 1528413002

NPD tax ID
Prospect Health Access Network, Inc. Obstetrics & Gynecology Physician · Chester, PA · NPI 1649627167

NPD tax ID
Prospect Health Access Network, Inc. Obstetrics & Gynecology Physician · Chester, PA · NPI 1659728160

NPD tax ID
Prospect Health Access Network, Inc. Reproductive Endocrinology Physician · Chester, PA · NPI 1730536251

NPD tax ID
Prospect Health Access Network, Inc. Cardiovascular Disease Physician · Ridley Park, PA · NPI 1740637255

NPD tax ID
Prospect Health Access Network, Inc. Pediatrics Physician · Chester, PA · NPI 1780031005

NPD tax ID
Prospect Health Access Network, Inc. Endocrinology, Diabetes & Metabolism Physician · Springfield, PA · NPI 1871948414

NPD tax ID

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Emilia O Adah, D. O Internal Medicine Physician · Drexel Hill, PA · NPI 1902039621

NPD
Reuben Azad, MD Cardiovascular Disease Physician · Philadelphia, PA · NPI 1598104515

NPD
Patricia Carol Eckart, CRNP Family Nurse Practitioner · Glen Mills, PA · NPI 1093812117

NPD
Pollyanna Fino, PA-C Physician Assistant · Hazle Township, PA · NPI 1437494598

NPD
Arleen G Haynes, M.D. Neonatal-Perinatal Medicine Physician · Reading, PA · NPI 1922017342

NPD
Dequilla Hurt Primary Care Nurse Practitioner · Lansdowne, PA · NPI 1063878411

NPD
Christopher Hwang, M.D. Geriatric Medicine (Internal Medicine) Physician · Broomall, PA · NPI 1912249061

NPD
Stephanie Mandos, CRNP Nurse Practitioner · Broomall, PA · NPI 1417472333

NPD
Onyeka W. Okonkwo, MD Internal Medicine Physician · Philadelphia, PA · NPI 1073710661

NPD
Ingram M Roberts, MD Gastroenterology Physician · Upland, PA · NPI 1538170501

NPD
Jeannlis Sanchez, M.D. Internal Medicine Physician · Lebanon, PA · NPI 1497011258

NPD
Meike Schuster, D.O. Obstetrics & Gynecology Physician · Danville, PA · NPI 1316175904

NPD
Richard V Buonocore, MD Neurological Surgery Physician · Bridgewater, NJ · NPI 1013008556

NPD
Alexis Koda, MD Emergency Medicine Physician · Orange, CA · NPI 1699157651

NPD
Paul N Leibrandt, MD Hematology & Oncology Physician · Camden, NJ · NPI 1205814001

NPD
Shyam Patel, MD Gastroenterology Physician · Voorhees, NJ · NPI 1124439427

NPD
Deepraj Singh, M.D. Psychiatry Physician · New York, NY · NPI 1417258948

NPD

Medicare participation

Medicare fee-for-service enrollment: Enrolled in PA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20160613000737	PA	Part B Supplier - Clinic/Group Practice	5698065142	Receives reassigned benefits from 730 practitioners 25 other NPIs on this enrollment This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family: Crozer Health Medical Group (14 organizations share this tax ID)

Locations

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Medicine & Rehabilitation Physician Group: 193200000X MULTI-SPECIALTY GROUP	208100000X			Yes
Physical Therapist Group: 193200000X MULTI-SPECIALTY GROUP	225100000X

Addresses

Primary practice location

485 Baltimore Pike
Suite 202
Glen Mills, PA 19342-1161

Mailing address

485 Baltimore Pike
Suite 202
Glen Mills, PA 19342-1161
Phone (610) 588-9222

Other names

Crozer Keystone Physical Medicine and Rehabilitation Other name

Other providers in Glen Mills, PA

All providers in Glen Mills, PA · Physical Medicine & Rehabilitation Physician in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.