Individual provider Active NPI

Judy Linh

  • Acute Care Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1184272262
Registry record updated Aug 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP020235 Issued in PA
Practice address
901 Glenview St
Philadelphia, PA 19111-4420
Phone
(215) 424-4406
NPI assigned
Aug 31, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP020235 PA Primary

Addresses

Primary practice location

901 Glenview St
Philadelphia, PA 19111-4420

Mailing address

901 Glenview St
Philadelphia, PA 19111-4420
Phone (215) 424-4406

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Philadelphia Health Information Exchange (HIE)

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
I20200514001847 PA Practitioner - Nurse Practitioner 9931530508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

3400 Civic Ctr Blvd
Philadelphia, PA 19104-5127
Phone (215) 662-2891

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP020235PAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Aug 29, 2022 Accepting new patients
Einstein Practice Plan Inc CurrentSince Mar 1, 2020 Accepting new patients
University of Penn-Medical Group CurrentSince Aug 29, 2022 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Einstein Practice Plan, Inc. CurrentSince Mar 1, 2020 Accepting new patients

Locations

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300

9880 Bustleton Ave
Ste 2
Philadelphia, PA 19115
Phone (215) 827-1500

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1567209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567209600000",
    "number": "1184272262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 GLENVIEW ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191114420",
            "telephone_number": "215-424-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 GLENVIEW ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191114420",
            "telephone_number": "215-424-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINH",
        "first_name": "JUDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-31",
        "last_updated": "2019-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP020235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Philadelphia",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Philadelphia",
            "address_1": "5501 Old York Rd",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191413018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.