Individual provider Active NPI

Cyndi H Phung, NP

  • Family Nurse Practitioner
  • Cheltenham, PA
National Provider Identifier
1114217262
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP011272 Issued in PA
Practice address
7930 Waltham Rd
Cheltenham, PA 19012-1713
Phone
(267) 760-1228
NPI assigned
Apr 11, 2011
Last updated
Apr 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP011272 PA Primary

Addresses

Primary practice location

7930 Waltham Rd
Cheltenham, PA 19012-1713

Mailing address

7930 Waltham Rd
Cheltenham, PA 19012
Phone (267) 760-1228

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
I20110512000719 PA Practitioner - Nurse Practitioner 2769668524 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Hospice of PhiladelphiaGroup PAC ID 0244241701, 3 clinicians

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Acts Signature Community Services, Inc. CurrentSince Oct 6, 2019 Accepting new patients
Acts Signature Community Services, Inc. CurrentSince Oct 6, 2019 Accepting new patients
Crossroads Hospice of Philadelphia CurrentSince Dec 7, 2016 Accepting new patients
Acts Signature Community Services, Inc. Current Accepting new patients
Truong Huu Nguyen PC CurrentSince May 4, 2021 Accepting new patients
Thi of Pennsylvania at Samaritan Hospice, LLC Past Accepting new patients
Truong H. Nguyen PC 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

  • Direct secure messaging: cyndi.phung.p1@direct.actslife.nextgenshare.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "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

Sources for this page

Verify at the official NPI Registry.