Individual provider Active NPI

Gudula Zoe Colasito Glova, CRNP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1346604279
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015905 Issued in PA
Practice address
2601 Holme Ave
Philadelphia, PA 19152-2007
Phone
(215) 335-6000
NPI assigned
Apr 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP015905 PA Primary

Addresses

Primary practice location

2601 Holme Ave
Philadelphia, PA 19152-2007

Mailing address

9947 Haldeman Ave
Philadelphia, PA 19115-1710
Phone (215) 673-8673

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
I20161012002190 PA Practitioner - Nurse Practitioner 8820386519 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Temple University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Health Mid-Atlantic Medical GroupGroup PAC ID 7416861885, 350 clinicians

Practice addresses (Care Compare)

2701 Holme Ave
Suite 101
Philadelphia, PA 19152-2029
Phone (267) 957-7005

Hospital & facility affiliations

  • St Mary Medical Center Hospital, Langhorne, PA, CCN 390258

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alignmed Partners, PC CurrentSince Dec 20, 2022 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Mar 5, 2023 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Mar 5, 2023 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients

Locations

1203 Langhorne Newtown Rd
Ste 225
Langhorne, PA 19047
Phone (215) 710-4490

1718 Spring Creek Rd
Macungie, PA 18062
Phone (610) 366-0500

1194 Naamans Creek Rd
Marcus Hook, PA 19060
Phone (610) 358-6005

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

2701 Holme Ave
Ste 100
Philadelphia, PA 19152
Phone (215) 335-3972

2701 Holme Ave
Ste 101
Philadelphia, PA 19152
Phone (215) 335-3535

5501 Perkiomen Ave
Reading, PA 19606
Phone (610) 779-0600

800 W Miner St
West Chester, PA 19382
Phone (484) 920-6200

Interoperability endpoints

  • Direct secure messaging: gglova2589647@direct.trinity-health.org

Organizations & group practices 6

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 1

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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1346604279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9947 HALDEMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151710",
            "telephone_number": "215-673-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 HOLME AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522007",
            "telephone_number": "215-335-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVA",
        "first_name": "GUDULA ZOE",
        "middle_name": "COLASITO",
        "name_prefix": "Dr.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.