Individual provider Active NPI

Joji Thomas, CRNP

  • Adult Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1275980468
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP016071 Issued in PA
Practice address
9659 Sandanne Rd
Philadelphia, PA 19115-2727
Phone
(215) 676-3242
NPI assigned
May 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP016071 PA Primary
Gerontology Nurse Practitioner 363LG0600X SP016071 PA

Addresses

Primary practice location

9659 Sandanne Rd
Philadelphia, PA 19115-2727

Mailing address

9659 Sandanne Rd
Philadelphia, PA 19115-2727
Phone (215) 676-3242

Other names 1

  • Joji Kurian Former name

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
I20170815001571 PA Practitioner - Nurse Practitioner 1951673722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Care Medical Associates P CGroup PAC ID 2860559812, 16 clinicians

Practice addresses (Care Compare)

100 N Buckstown Rd
Suite E 206
Langhorne, PA 19047-1815
Phone (215) 741-1963

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP016071PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Care Medical Associates P C CurrentSince Jan 15, 2018 Accepting new patients

Locations

100 N Buckstown Rd
Ste E206
Langhorne, PA 19047
Phone (215) 741-1963

8350 Roosevelt Blvd
Ste B
Philadelphia, PA 19152

8301 Roosevelt Blvd
Philadelphia, PA 19152
Phone (215) 624-6038

8350 Roosevelt Blvd
#B
Philadelphia, PA 19152

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1275980468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9659 SANDANNE RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191152727",
            "telephone_number": "215-676-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9659 SANDANNE RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191152727",
            "telephone_number": "215-676-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JOJI",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP016071",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP016071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOJI",
            "last_name": "KURIAN",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.