Trinity Health Mid-Atlantic Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0S004383L Issued in PA

Legal business name

TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP

Doing business as

Junewood Medical Practice

Practice address

4595 New Falls Rd Ste a
Levittown, PA 19056

Phone

(215) 943-0424

Fax

(215) 943-8665

NPI assigned

Aug 27, 2010

Last updated

Dec 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sharon Profera

Title

Admin Dir of Financial Services

Phone

(215) 710-2013

Specialties & licenses 1

Addresses

Other names 1

• JUNEWOOD MEDICAL PRACTICE Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Syed Atif Hussain, MD

  • Cardiovascular Disease Physician
  • Langhorne, PA
  • NPI 1689847709
  NPD
• Dmitry Alexander Isaev, CRNP

  • Gerontology Nurse Practitioner
  • Philadelphia, PA
  • NPI 1194182287
  NPD
• Patricia Anne Kroekel, CRNP

  • Critical Care Medicine Nurse Practitioner
  • Langhorne, PA
  • NPI 1386894939
  NPD
• Elizabeth Welsher, NP

  • Family Nurse Practitioner
  • Philadelphia, PA
  • NPI 1134534530
  NPD

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1154637106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 UNIVERSITY DRIVE",
            "address_2": "SUITE 300",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401873",
            "telephone_number": "215-710-5522",
            "fax_number": "215-710-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4595 NEW FALLS RD STE A",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "19056",
            "telephone_number": "215-943-0424",
            "fax_number": "215-943-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "PROFERA",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "ADMIN DIR OF FINANCIAL SERVICES",
        "authorized_official_telephone_number": "215-710-2013"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "0S004383L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JUNEWOOD MEDICAL PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JUNEWOOD MEDICAL PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Total Eye Care Centers PC
• Total Eye Care Centers, PC
• Tower Health Urgent Care, LLC
• Derek Tran
• Trinity Health Mid-Atlantic Medical Group
• Trinity Health Mid-Atlantic Medical Group (St. Mary Family Practice - Middletown)
• Trinity Health Mid-Atlantic Medical Group (St Mary Health Internal Medicine Residency Center)
• Trinity Health Mid-Atlantic Medical Group (St Mary Health New Falls Road)
• Trinity Health Mid-Atlantic Medical Group (Woodbourne Family Practice)
• Edythe Turner, MA, NCC, LPC

• Family Medicine Physician in Levittown, PA
• Providers in Levittown, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare 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.