Active NPI
Monica P Medina McCurdy, PA-C
- Medical Physician Assistant
- Philadelphia, PA
National Provider Identifier
1093761116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA051067
- Practice address
- 1845 N 23Rd St
Philadelphia, PA 19121-2055 - Phone
- (215) 235-3110
- Fax
- (215) 235-4441
- NPI assigned
- May 26, 2006
- Last updated
- Oct 1, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA051067 | PA | Primary |
Addresses
Primary practice location
1845 N 23Rd St
Philadelphia, PA 19121-2055
Mailing address
2144 Cecil B Moore Ave
Philadelphia, PA 19121-4014
Phone (215) 320-6187
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA051067 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Project Home | Past | Accepting new patients | |
| Burholme Emergency Care Specialists LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://fhir4.healow.com/fhir/r4/HFBGDD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Project HOME - Prevention Point
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1225512031
-
- Emergency Medicine Physician
- Philadelphia, PA
- NPI 1588693121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443657600000",
"number": "1093761116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2144 CECIL B MOORE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191214014",
"telephone_number": "215-320-6187",
"fax_number": "215-235-4441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 N 23RD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191212055",
"telephone_number": "215-235-3110",
"fax_number": "215-235-4441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA MCCURDY",
"first_name": "MONICA",
"middle_name": "P",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2015-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA051067",
"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 Oct 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.