Active NPI
Core Wellness Centers LLC
- Addiction Medicine (Internal Medicine) Physician
- Philadelphia, PA
National Provider Identifier
1215752670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- Legal business name
- CORE WELLNESS CENTERS LLC
- Doing business as
- CORE WELLNESS CENTERS LLC
- Practice address
- 2952 Kensington Ave
Philadelphia, PA 19134-3017 - Phone
- (215) 432-7396
- NPI assigned
- Nov 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Duane Lassiter
- Title
- Member
- Phone
- (215) 432-7396
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | Primary |
Addresses
Primary practice location
2952 Kensington Ave
Philadelphia, PA 19134-3017
Mailing address
1515 Market St Ste 1200
Philadelphia, PA 19102-1932
Phone (215) 419-5842
Other names 1
- CORE WELLNESS CENTERS LLC
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2317523 | Core Wellness Centers LLC | Certificate of waiver | Jan 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
2952 Kensington Ave
Philadelphia, PA 19134
Phone (215) 432-7396
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Schuylkill Haven, PA
- NPI 1811756661
-
- Psychiatric/Mental Health Nurse Practitioner
- Philadelphia, PA
- NPI 1366203648
-
- Nurse Practitioner
- New Castle, DE
- NPI 1992140800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762819200000",
"number": "1215752670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 MARKET ST STE 1200",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191021932",
"telephone_number": "215-419-5842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2952 KENSINGTON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191343017",
"telephone_number": "215-432-7396"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORE WELLNESS CENTERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-20",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A",
"authorized_official_last_name": "LASSITER",
"authorized_official_first_name": "DUANE",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "215-432-7396"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CORE WELLNESS CENTERS LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.