Individual provider Active NPI

Elizabeth Cerva, DO

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1245207273
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB09093800 Issued in NJ
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

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00112394120003MedicaidPA
0364894MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060922000186 PA Practitioner - Family Practice 2961407119 Reassigns benefits to 1 organization
I20230612002545 DE Practitioner - Family Practice 2961407119 Reassigns benefits to 1 organization

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
Value in Prevention of Delaware LLCGroup PAC ID 0840657516, 3 clinicians

Practice addresses (Care Compare)

724 Yorklyn Rd
Suite 125
Hockessin, DE 19707-8731
Phone (302) 239-4097

Hospital & facility affiliations

  • Christiana Hospital Hospital, Newark, DE, CCN 080001
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A15427CAMDFamily Medicine Physician
C2-0007831DEMDFamily Medicine Physician
77356GAMDFamily Medicine Physician
02004945AINMDFamily Medicine Physician
H82458MDMDFamily Medicine Physician
61627MNMDFamily Medicine Physician
286151NYMDFamily Medicine Physician
OS006828LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor on Demand Professionals P C Family Medicine CurrentSince Apr 11, 2020 Accepting new patients
Value in Prevention of Delaware LLC Family Medicine CurrentSince Jun 1, 2023 Accepting new patients
Hockessin Family Medicine LLC Family Medicine PastSince Jun 1, 2023 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

  • Direct secure messaging: elizabeth.cerva.1@28871.direct.athenahealth.com
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.