Svetlana De John, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

OA000517L Issued in PA

Practice address

2135 E Chelten Ave
Phila, PA 19138-2534

Phone

(215) 424-5365

Fax

(215) 424-5370

NPI assigned

Oct 26, 2006

Last updated

Aug 1, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Chelten Medical Center

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1669556411
  Medicare reassignment
• Gary R Salzman, D.O.,PC

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1861576704
  Medicare reassignment
• College Cardiology Associates, LTD

  • Cardiovascular Disease Physician
  • Bala Cynwyd, PA
  • NPI 1497793806
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1124103023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454615",
            "telephone_number": "215-605-8096",
            "fax_number": "215-424-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 E CHELTEN AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191382534",
            "telephone_number": "215-424-5365",
            "fax_number": "215-424-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JOHN",
        "first_name": "SVETLANA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA000517L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION NUMBER",
            "identifier": "044560JT9",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April S Davenport, B.S.
• Deana L. Davis, LSW
• Lawrence Robert Davis, OD
• Nykishia Nicole Davis, AGACNP-BC
• Darnell W Day, MS
• Regina E Dease, BSE
• Debra V. Irvin, DDS, PC
• Giuliana Imelda Defrancesch, MD
• Kimberly Dehnkamp, CRNP
• Kenneth Deitch, DO

• Medical Physician Assistant in Phila, PA
• Providers in Phila, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.

Verify at the official NPI Registry.