Individual provider Active NPI

Aisha Momoh

  • Psychiatric/Mental Health Nurse Practitioner
  • Paoli, PA
National Provider Identifier
1235824343
Registry record updated Jan 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP027429 Issued in PA
Practice address
45 Darby Rd Ste E4Ofc3
Paoli, PA 19301-1475
Phone
(484) 820-4470
Fax
(484) 328-6377
NPI assigned
Apr 6, 2023
Last updated
Jan 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP027429 PA Primary
Registered Nurse 163W00000X RN733479 PA

Addresses

Primary practice location

45 Darby Rd Ste E4Ofc3
Paoli, PA 19301-1475

Mailing address

2832 Dekalb Pike # 1136
East Norriton, PA 19401-1823
Phone (484) 820-4470

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
I20230509002636 PA Practitioner - Nurse Practitioner 2567828973 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN733479PAMDRegistered Nurse
SP027429PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cec Mental Health Care & Wellness Psychiatric/Mental Health CurrentSince Oct 15, 2024 Accepting new patients

Locations

2832 DeKalb Pike
Norristown, PA 19401
Phone (267) 907-8399

45 Darby Rd
Ste E4
Paoli, PA 19301
Phone (484) 352-2060

453 Arena Hub Plz
Wilkes Barre, PA 18702

Organizations & group practices 1

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": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769212800000",
    "number": "1235824343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2832 DEKALB PIKE # 1136",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011823",
            "telephone_number": "484-820-4470",
            "fax_number": "484-328-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 DARBY RD STE E4OFC3",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011475",
            "telephone_number": "484-820-4470",
            "fax_number": "484-328-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMOH",
        "first_name": "AISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2026-01-24",
        "certification_date": "2026-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP027429",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN733479",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.