Active NPI
Devon E Leahy, PA-C
- Medical Physician Assistant
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA061194
- Practice address
- 800 Spruce St
Philadelphia, PA 19107-6130 - Phone
- (215) 662-3340
- Fax
- (215) 349-5890
- NPI assigned
- Jun 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Medical Physician Assistant | 363AM0700X | 25MP00568200 | NJ | |
| Medical Physician Assistant | 363AM0700X | MA061194 | PA | Primary |
Addresses
Primary practice location
800 Spruce St
Philadelphia, PA 19107-6130
Mailing address
800 Spruce St
Philadelphia, PA 19107-6130
Phone (215) 662-3340
Other practice location 1
1865 Route 70 E Ste 220
Cherry Hill, NJ 08003-2005
Phone (856) 429-0505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Jefferson Medical College of Thomas Jefferson University, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
145 King of Prussia Rd
Radnor, PA 19087-4557
145 King of Prussia Rd 201
Radnor, PA 19087-4557
145 King of Prussia Rd 203
Radnor, PA 19087-4557
145 King of Prussia Rd 302
GYN/Onc Radnor
Radnor, PA 19087-4557
Phone (610) 902-2500
145 King of Prussia Rd N
G102 Oto Surgery Radnor
Philadelphia, PA 19087-4557
Phone (610) 902-5500
145 King of Prussia Rd N G
1 Rad Onc Rdanor
Radnor, PA 19087-4557
Phone (610) 902-4580
145 King of Prussia Road G-103
Oral/Maxillo Surg Radnor
Radnor, PA 19087-4557
Phone (610) 902-2100
230 W Washington Square
Philadelphia, PA 19106-3500
230 W Washington Square 2ND FLR
Thoracic Surg West Wash SQ
Philadelphia, PA 19106-3500
Phone (215) 829-2092
230 W Washington Square 5TH Floor
Orthopedic Foot and Ankle
Philadelphia, PA 19106-3500
Phone (215) 829-3668
3400 Spruce St
Philadelphia, PA 19104-4206
3400 Spruce Street 5 White BLDG
Oral and Maxillofacial Surgery Hup
Philadelphia, PA 19104-4206
Phone (215) 829-6079
3737 Market St
Philadelphia, PA 19104-5544
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00568200 | NJ | MD | Medical Physician Assistant |
| MA061194 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Health Care Associates of New Jersey, P.C. | Multi-Specialty | Current | Accepting new patients |
| Clinical Health Care Associates of New Jersey, PC | Multi-Specialty | Current | Accepting new patients |
| University of Penn-Medical Group | Multi-Specialty | Current | Accepting new patients |
| University of Penn-Medical Group | Multi-Specialty | Current | Accepting new patients |
| University of Penn - Medical Group | Multi-Specialty | Current | Accepting new patients |
Locations
1865 Route 70 E
Ste 220
Cherry Hill, NJ 08003
Phone (856) 429-0505
1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
230 W Washington Sq
Fl 5
Philadelphia, PA 19106
Phone (215) 829-3668
PO B0x 824320
Philadelphia, PA 19182
800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Philadelphia, PA
- NPI 1053447151
Multi-Specialty
-
- Orthopaedic Surgery Physician
- Cherry Hill, NJ
- NPI 1437288263
Multi-Specialty
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
Multi-Specialty
-
- Hospitalist Physician
- Philadelphia, PA
- NPI 1992301196
Multi-Specialty
-
- Family Medicine Physician
- Cherry Hill, NJ
- NPI 1447260435
Multi-Specialty
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Chester, PA
- NPI 1356333579
-
dba Penn Medicine Good Shepherd Rehabilitation
- Long Term Care Hospital
- Philadelphia, PA
- NPI 1427232818
Long-term care hospital
-
dba UPHS Presbyterian Medical Center
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1245207521
-
- General Acute Care Hospital
- Phila, PA
- NPI 1063489342
-
dba Hospital of the University of Pennsylvania
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601251200000",
"number": "1164836490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 SPRUCE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191076130",
"telephone_number": "215-662-3340",
"fax_number": "215-349-5890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 SPRUCE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191076130",
"telephone_number": "215-662-3340",
"fax_number": "215-349-5890"
}
],
"practiceLocations": [
{
"address_1": "1865 Route 70 E Ste 220",
"address_purpose": "LOCATION",
"city": "Cherry Hill",
"state": "NJ",
"postal_code": "080032005",
"country_code": "US",
"telephone_number": "856-429-0505",
"fax_number": "856-427-9468",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEAHY",
"first_name": "DEVON",
"middle_name": "E",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-14",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NJ",
"license": "25MP00568200",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA061194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.