Philadelphia Health and Wellness,LLC.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PHILADELPHIA HEALTH AND WELLNESS,LLC.

Practice address

220 Wilmington W Chester Pike Ste 5
Chadds Ford, PA 19317-9078

Phone

(610) 507-2556

NPI assigned

Oct 14, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Russo

Title

Operations Manager

Phone

(106) 999-8210

Specialties & licenses 1

Addresses

Other names 2

• Suboxonecare.com Doing business as
• Philadelphia Health and Wellness, LLC. Former legal business name

Locations

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1205656394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 WILMINGTON W CHESTER PIKE STE 5",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179078",
            "telephone_number": "610-507-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 WILMINGTON W CHESTER PIKE STE 5",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179078",
            "telephone_number": "610-507-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA HEALTH AND WELLNESS,LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "106-999-8210",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suboxonecare.com",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Philadelphia Health and Wellness, LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mitali Patel, (DMD)
• Nina M Patterson, LCSW
• Linda M. Peterson, LCSW
• Meredith Petruccelli, PHD, NCSP
• Steven James Pettineo, MPT, DPT, CSCS
• Cecile Marie Pileggi, M.D.
• Platinum Dental Specialties, LLC
• Margaret Elizabeth Pope, LCSW
• Lily Marie Postus, OTR/L
• Andrew J. Pratt, D.M.D.

• Internal Medicine Physician in Chadds Ford, PA
• Providers in Chadds Ford, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.