Individual provider Active NPI

Neal Ira Mermelstein, DO

  • General Practice Physician
  • Philadelphia, PA
National Provider Identifier
1285676171
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS005880L Issued in PA
Practice address
7439 Frankford Ave
Philadelphia, PA 19136-3632
Phone
(215) 333-9484
Fax
(215) 333-7739
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X OS005880L PA Primary

Addresses

Primary practice location

7439 Frankford Ave
Philadelphia, PA 19136-3632

Mailing address

7439 Frankford Ave
Philadelphia, PA 19136-3632
Phone (215) 333-9484

Other identifiers 1

IdentifierTypeStateIssuer
0011043040003MedicaidPA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110103000118 PA Practitioner - Family PracticePractitioner - Geriatric Medicine 3870494792 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Health Physician Services Current Accepting new patients
Aria Health Physician Services CurrentSince Apr 1, 2022 Accepting new patients
Aria Health Physician Services CurrentSince Apr 1, 2022 Accepting new patients
Deer Meadows Operating LLC Past Accepting new patients

Locations

240 Middletown Blvd
Ste 101C
Langhorne, PA 19047
Phone (215) 550-9999

7439 Frankford Ave
Philadelphia, PA 19136
Phone (215) 333-1377

5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355

7439 Frankford Ave
#41
Philadelphia, PA 19136
Phone (215) 333-9484

3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1285676171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7439 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191363632",
            "telephone_number": "215-333-9484",
            "fax_number": "215-333-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7439 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191363632",
            "telephone_number": "215-333-9484",
            "fax_number": "215-333-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERMELSTEIN",
        "first_name": "NEAL",
        "middle_name": "IRA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "OS005880L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011043040003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.