Individual provider Active NPI

Alexis Andrea Giovinazzo, PA-C, MPH

  • Physician Assistant
  • Montgomeryville, PA
National Provider Identifier
1184249203
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
589 Bethlehem Pike Ste 400
Montgomeryville, PA 18936-9746
Phone
(267) 753-9643
NPI assigned
Jun 15, 2020
Last updated
Jun 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

589 Bethlehem Pike Ste 400
Montgomeryville, PA 18936-9746

Mailing address

312 Edgley Ave
Glenside, PA 19038-5304

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
I20201008001169 PA Practitioner - Physician Assistant 5890115083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Health OrthopaedicsGroup PAC ID 2365695251, 18 clinicians

Practice addresses (Care Compare)

380 N Oxford Valley Rd
FL 1
Langhorne, PA 19047-8304
Phone (215) 409-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Health Physician Services CurrentSince Jan 1, 2024 Accepting new patients
Aria Health Physicain Services CurrentSince Jan 1, 2024 Accepting new patients
Aria Health Physician Services Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

380 N Oxford Valley Rd
Fl 1
Langhorne, PA 19047
Phone (215) 757-3980

3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, 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": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1184249203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 EDGLEY AVE",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190385304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 BETHLEHEM PIKE STE 400",
            "city": "MONTGOMERYVILLE",
            "state": "PA",
            "postal_code": "189369746",
            "telephone_number": "267-753-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOVINAZZO",
        "first_name": "ALEXIS",
        "middle_name": "ANDREA",
        "credential": "PA-C, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomeryville, PA

Sources for this page

Verify at the official NPI Registry.