Organization Active NPI

Red Panda Acupuncture LLC

  • Acupuncturist
  • Jenkintown, PA
National Provider Identifier
1255895157
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
RED PANDA ACUPUNCTURE LLC
Practice address
321 York Rd Ste 210
Jenkintown, PA 19046-3262
Phone
(215) 259-8180
NPI assigned
Jan 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Authorized official

Name
Kearney Defillipo, LACNPI 1265986632
Title
Owner, Licensed Acupuncturist
Phone
(215) 259-8180

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

321 York Rd Ste 210
Jenkintown, PA 19046-3262

Mailing address

931 Washington LN
Jenkintown, PA 19046-1706

Other practice location 1

7848 Old York Rd Ste 200C
Elkins Park, PA 19027-2541
Phone (215) 867-0114

National Provider Directory

National Provider Directory

Locations

7848 Old York Rd
Ste 200C
Elkins Park, PA 19027
Phone (215) 867-0114

321 York Rd
Ste 210
Jenkintown, PA 19046
Phone (215) 259-8180

Practitioners & affiliated clinicians

Practitioners 1

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": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1255895157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 WASHINGTON LN",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 YORK RD STE 210",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463262",
            "telephone_number": "215-259-8180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7848 Old York Rd Ste 200C",
            "address_purpose": "LOCATION",
            "city": "Elkins Park",
            "state": "PA",
            "postal_code": "190272541",
            "country_code": "US",
            "telephone_number": "215-867-0114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RED PANDA ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "DEFILLIPO",
        "authorized_official_first_name": "KEARNEY",
        "authorized_official_title_or_position": "OWNER, LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "215-259-8180",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.