Prospect Health Access Network, Inc.
Organization Active NPI Diagnostic Radiology Physician · Chester, PA
NPI 1154776797 · NPPES record last updated Jul 16, 2024
Key facts
- NPI
- 1154776797
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- PROSPECT HEALTH ACCESS NETWORK, INC.
- Practice address
- 1 Medical Center Blvd
Chester, PA 19013-3902 - Phone
- (302) 477-9660
- Fax
- (302) 477-9495
- NPI assigned
- May 2, 2016
- Organization subpart
- No
Authorized official
- Name
- Robert Jon Elders
- Title
- Secretary
- Phone
- (714) 788-1249
Other NPIs on the same Medicare enrollment 25
Other NPIs with the same Medicare PAC ID 1
Practitioners 741
-
Adel Abdalla, M.D.
-
Stanton S Kremsky, M.D.
-
Philip B. McDonald, M.D.
-
James Ikemefuna Okoh, M.D.
-
Asia Abdul-Haqq, CNM
-
Gazi Abdulhay, MD
-
Omana George Abraham, DNP, CRNP
-
Joseph Njinyah Achaleke, CRNP, PMHNP-BC
-
Emilia O Adah, D. O
-
Jessica Adler, M.D.
-
Tessa Agbonifioror, AGACNP-BC
-
Allison Aggon, D.O.
-
Christopher Osayande Aghedo, PMHNP-BC
-
Syed M Ahmad, MD
-
Tina Ahmadinejad, M.D.
-
Mutiat Ajibade, NURSE PRACTITIONER
-
Artun Aksade, MD
-
Aymen Alrez, MD
-
Frank O Amanze, CRNP
-
Guenadi Amoachi, MD
-
Emmanuel Owusu Amoah, CRNP
-
MD Ashik Ansar, M.D., PH.D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in PA, NY, NV, CA, FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160613000737 | PA | Part B Supplier - Clinic/Group Practice | 5698065142 |
Receives reassigned benefits from 730 practitioners 25 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| O20240912002840 | NY | Part B Supplier - Clinic/Group Practice | 5698065142 |
Receives reassigned benefits from 1 practitioner Practice locations: Mount Vernon, NY |
| O20240926001234 | NV | Part B Supplier - Clinic/Group Practice | 5698065142 |
Receives reassigned benefits from 1 practitioner Practice locations: Las Vegas, NV |
| O20241003000440 | CA | Part B Supplier - Clinic/Group Practice | 5698065142 |
Receives reassigned benefits from 2 practitioners Practice locations: Huntington Beach, CA; Monterey Park, CA; Santa Monica, CA |
| O20241010000535 | FL | Part B Supplier - Clinic/Group Practice | 5698065142 |
Receives reassigned benefits from 2 practitioners Practice locations: Orlando, FL; Tampa, FL |
National Provider Directory
Locations
2106 Silverside Rd
Ste 2
Wilmington, DE 19810
Phone (302) 477-9660
1 Medical Center Blvd
Ste 404
Chester, PA 19013
Phone (610) 619-8590
1 Medical Center Blvd
#3
Chester, PA 19013
Phone (610) 619-7410
1 Medical Center Blvd
Ste 300
Chester, PA 19013
Phone (610) 619-8500
1 Medical Center Blvd
Ste 306
Chester, PA 19013
Phone (484) 816-2754
1 Medical Center Blvd
Ste 220
Chester, PA 19013
Phone (610) 394-1889
1 Medical Center Blvd
Spc Care
Chester, PA 19013
Phone (610) 447-6328
2100 Keystone Ave
Ste 300
Drexel Hill, PA 19026
Phone (610) 394-4731
2100 Keystone Ave
Ste 705
Drexel Hill, PA 19026
Phone (610) 338-1810
3030 Garrett Rd
Drexel Hill, PA 19026
Phone (610) 622-7933
2100 Keystone Ave
Ste 407
Drexel Hill, PA 19026
Phone (610) 259-5007
500 Evergreen Dr
Ste 330
Glen Mills, PA 19342
Phone (610) 338-1820
500 Evergreen Dr
Ste 17
Glen Mills, PA 19342
Phone (610) 579-3590
263 Glen Riddle Rd
Media, PA 19063
Phone (610) 358-9933
200 E State St
Ste 106
Media, PA 19063
Phone (610) 480-5176
818 Macdade Blvd
Milmont Park, PA 19033
Phone (610) 532-2618
4651 West Chester Pike
Newtown Square, PA 19073
Phone (610) 356-0300
8 Morton Ave
Ste 303
Ridley Park, PA 19078
Phone (610) 521-1512
190 W Sproul Rd
Ste 103
Springfield, PA 19064
Phone (610) 328-9002
723 Saxer Ave
Springfield, PA 19064
Phone (610) 394-4755
1324 Macdade Blvd
Woodlyn, PA 19094
Phone (610) 872-2200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
1 Medical Center Blvd
Chester, PA 19013-3902
Mailing address
1 Medical Center Blvd
Chester, PA 19013-3902
Phone (302) 477-9660
Other names
- Crozer Health Medical Group Radiology
Other providers in Chester, PA
- Prospect CCMC, LLC
- Prospect Health Access Network, Inc.
- Prospect Health Access Network, Inc.
- Prospect Health Access Network, Inc.
- Prospect Health Access Network, Inc.
- Prospect Health Access Network, Inc.
- Prospect Health Access Network, Inc.
- Prospect Health Access Network, Inc.
- Prospect Health Access Network, Inc.
- Prospect Health Access Network, Inc.
All providers in Chester, PA · Diagnostic Radiology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2024. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.