Ellen Gambrah, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP014707 Issued in PA

Practice address

6325 Woodland Ave
Philadelphia, PA 19142-2036

Phone

(215) 729-6026

Fax

(215) 729-6046

NPI assigned

Jul 24, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Temple Physicians Inc

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1942444088

  Nurse Practitioner, PA

  Medicare reassignment NPD
• Berks Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Reading, PA
  • NPI 1649525569
  NPD
• Berks Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Reading, PA
  • NPI 1649938283
  NPD
• Temple Physician Inc.

  • Internal Medicine Physician
  • Feasterville Trevose, PA
  • NPI 1174497366
  NPD
• Temple Physicians Inc

  • Internal Medicine Physician
  • Wyndmoor, PA
  • NPI 1083954812
  NPD
• Woodland Ave Medical Center PC

  • Chiropractor
  • Philadelphia, PA
  • NPI 1396955100
  NPD (past)

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1346625829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 WOODLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191422036",
            "telephone_number": "215-729-6026",
            "fax_number": "215-729-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 WOODLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191422036",
            "telephone_number": "215-729-6026",
            "fax_number": "215-729-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBRAH",
        "first_name": "ELLEN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP014707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Gamble, DPM
• Joanne Gambo, CRNP
• Luis Ledesma Gamboa, M.D.
• Elizabeth Kaberle Gambogi, MD
• Maria Lynn Gambone, DPT
• Courtney Cierra Gambrell, LPC
• Krystal Gamez, PSYD
• Devki Gami, MD
• Vincent John Gamuzza, O.D.
• Gan Chabad

• All providers in Philadelphia, PA
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.