Cyndi H Phung, NP
Individual provider Active NPI Family Nurse Practitioner · Cheltenham, PA
NPI 1114217262 · NPPES record last updated Apr 11, 2011
Key facts
- NPI
- 1114217262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- SP011272 (PA)
- Practice address
- 7930 Waltham Rd
Cheltenham, PA 19012-1713 - Phone
- (267) 760-1228
- NPI assigned
- Apr 11, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Acts Signature Community Services Inc
Crossroads Hospice of Philadelphia
Acts Retirement-Life Communities Inc
Practice addresses (Care Compare)
1001 S Valey Forge Rd
Lansdale, PA 19446-6501
Phone (215) 855-4109
523 Plymouth Rd
Suite 225
Plymouth Meeting, PA 19462-1656
Phone (215) 956-5175
9000 Twin Silo Dr
Blue Bell, PA 19422-4202
Phone (215) 699-8721
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110512000719 | PA | Practitioner - Nurse Practitioner | 2769668524 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truong Huu Nguyen PC | Current |
Accepting new patients | |
| Acts Signature Community Services, Inc. | Current |
Accepting new patients | |
| Acts Signature Community Services, Inc. | Current | Accepting new patients | |
| Crossroads Hospice of Philadelphia | Current |
Accepting new patients | |
| Acts Signature Community Services, Inc. | Current |
Accepting new patients | |
| Truong H. Nguyen PC | Past | Accepting new patients | |
| Thi of Pennsylvania at Samaritan Hospice, LLC | Past | Accepting new patients |
Locations
9000 Twin Silo Dr
Blue Bell, PA 19422
Phone (215) 699-8721
420 Delaware Dr
Ft Washington, PA 19034
Phone (215) 661-8330
5746 Rising Sun Ave
Philadelphia, PA 19120
Phone (215) 564-6620
523 Plymouth Rd
Ste 225
Plymouth Mtng, PA 19462
Phone (215) 956-5110
Interoperability endpoints
- cyndi.phung.p1@direct.actslife.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP011272 | PA | Yes |
Addresses
Primary practice location
7930 Waltham Rd
Cheltenham, PA 19012-1713
Mailing address
7930 Waltham Rd
Cheltenham, PA 19012
Phone (267) 760-1228
NPI Registry JSON
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302480000000",
"number": "1114217262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7930 WALTHAM RD",
"city": "CHELTENHAM",
"state": "PA",
"postal_code": "19012",
"telephone_number": "267-760-1228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7930 WALTHAM RD",
"city": "CHELTENHAM",
"state": "PA",
"postal_code": "190121713",
"telephone_number": "267-760-1228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHUNG",
"first_name": "CYNDI",
"middle_name": "H",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-11",
"last_updated": "2011-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP011272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheltenham, PA
- Anuli Ojukwu
- Herotoma Okeme
- Optimum Health Services, LLC
- Andrew Packel
- Donald Anthony Petetti Sr.
- Srinivasan Pinninti
- Restorative Home Care Inc.
- Evann Rodgers
- Sahara Dialysis LLC
- Majeed Adekunle Salam
All providers in Cheltenham, PA · Family Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2011. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.