Active NPI
Elizabeth Cerva, DO
- Family Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MB09093800
- Practice address
- 2424 E York St
Suite 117
Philadelphia, PA 19125-3026 - Phone
- (215) 203-8012
- Fax
- (215) 203-8109
- NPI assigned
- Mar 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C2-0007831 | DE | |
| Family Medicine Physician | 207Q00000X | 286151 | NY | |
| Family Medicine Physician | 207Q00000X | 77356 | GA | |
| Family Medicine Physician | 207Q00000X | 02004945A | IN | |
| Family Medicine Physician | 207Q00000X | H82458 | MD | |
| Family Medicine Physician | 207Q00000X | 61627 | MN | |
| Family Medicine Physician | 207Q00000X | 20A15427 | CA | |
| Family Medicine Physician | 207Q00000X | OS006828L | PA | |
| Family Medicine Physician | 207Q00000X | 25MB09093800 | NJ | Primary |
Addresses
Primary practice location
2424 E York St
Suite 117
Philadelphia, PA 19125-3026
Mailing address
2424 E York St
Suite 117
Philadelphia, PA 19125-3026
Phone (215) 203-8012
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00112394120003 | Medicaid | PA | |
| 0364894 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
724 Yorklyn Rd
Suite 125
Hockessin, DE 19707-8731
Phone (302) 239-4097
Hospital & facility affiliations
- Christiana Hospital
- Chester County Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A15427 | CA | MD | Family Medicine Physician |
| C2-0007831 | DE | MD | Family Medicine Physician |
| 77356 | GA | MD | Family Medicine Physician |
| 02004945A | IN | MD | Family Medicine Physician |
| H82458 | MD | MD | Family Medicine Physician |
| 61627 | MN | MD | Family Medicine Physician |
| 286151 | NY | MD | Family Medicine Physician |
| OS006828L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctor on Demand Professionals P C | Family Medicine | Current | Accepting new patients |
| Value in Prevention of Delaware LLC | Family Medicine | Current | Accepting new patients |
| Hockessin Family Medicine LLC | Family Medicine | Past | Accepting new patients |
| Lourdes Medical Associates PA | Family Medicine | Past | Accepting new patients |
Locations
1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926
724 Yorklyn Rd
Ste 125
Hockessin, DE 19707
Phone (302) 239-4097
4950 Communication Ave
Ste 100
Boca Raton, FL 33431
Phone (561) 982-4300
2595 Interstate Dr
Ste 103
Harrisburg, PA 17110
Phone (386) 672-4222
Interoperability endpoints
- elizabeth.cerva.1@28871.direct.athenahealth.com
- ecerva@yourcarecommunity.org
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Hockessin, DE
- NPI 1295422913
-
- Family Medicine Physician
- Hockessin, DE
- NPI 1205931326
-
- Family Medicine Physician
- Haddon Heights, NJ
- NPI 1568441541
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Chester, PA
- NPI 1356333579
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1245207273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2424 E YORK ST",
"address_2": "SUITE 117",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191253026",
"telephone_number": "215-203-8012",
"fax_number": "215-203-8109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 E YORK ST",
"address_2": "SUITE 117",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191253026",
"telephone_number": "215-203-8012",
"fax_number": "215-203-8109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERVA",
"first_name": "ELIZABETH",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DE",
"license": "C2-0007831",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "286151",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "77356",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "02004945A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "H82458",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "61627",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A15427",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS006828L",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MB09093800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00112394120003",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0364894",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.