NPIMap

Organization Active NPI

Penn'S Rock Primary Care

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1255859112
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS010207L Issued in PA
Legal business name
PENN'S ROCK PRIMARY CARE
Practice address
801 Washington Ave Unit C
Philadelphia, PA 19147-4716
Phone
(267) 519-9359
Fax
(267) 519-8120
NPI assigned
Aug 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Authorized official

Name
Dr. Monika Vansant, DONPI 1962441683
Title
Physician
Phone
(267) 519-9353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X OS010207L PA Primary

Addresses

Primary practice location

801 Washington Ave Unit C
Philadelphia, PA 19147-4716

Mailing address

PO Box 251
Southampton, PA 18966-0251
Phone (215) 551-0200

Other names 1

  • Penn's Rock Primary Care Doing business as

National Provider Directory

National Provider Directory

Locations

801 Washington Ave
Unit 21C
Philadelphia, PA 19147
Phone (267) 519-9353

801 Washington Ave
Unit C
Philadelphia, PA 19147
Phone (215) 551-0200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25652/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1255859112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189660251",
            "telephone_number": "215-551-0200",
            "fax_number": "215-551-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WASHINGTON AVE UNIT C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191474716",
            "telephone_number": "267-519-9359",
            "fax_number": "267-519-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN'S ROCK PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "VANSANT",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "267-519-9353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS010207L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn's Rock Primary Care",
            "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 Feb 1, 2019; 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.