Individual provider Active NPI

Foday Janneh

  • Psychiatric/Mental Health Nurse Practitioner
  • Harrisburg, PA
National Provider Identifier
1346712353
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP028389 Issued in PA
Practice address
600 N 2ND St Ste 401
Harrisburg, PA 17101-1071
Phone
(860) 788-6404
Fax
(877) 794-3529
NPI assigned
Jan 2, 2019
Last updated
Dec 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP028389 PA Primary
Family Nurse Practitioner 363LF0000X SP019800 PA

Addresses

Primary practice location

600 N 2ND St Ste 401
Harrisburg, PA 17101-1071

Mailing address

PO Box 2762
Worcester, MA 01613-2762
Phone (860) 788-6404

Other identifiers 1

IdentifierTypeStateIssuer
SP019800OtherPALICENSE

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
I20190326002198 PA Practitioner - Nurse Practitioner 3971843160 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP019800PAMDFamily Nurse Practitioner
SP028389PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County MH-Mr Emergency Service CurrentSince Mar 1, 2019 Accepting new patients
Meditelecare of Pennsylvania LLC CurrentSince Dec 8, 2023 Accepting new patients
Advanced HHS LLC Current Accepting new patients

Locations

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

50 Beech Dr
Norristown, PA 19403
Phone (610) 279-6100

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Advanced Health and Human ServicesProspect Park, PA, CCN 398331 Home health agency 5% Or Greater Direct Ownership Interest (50%)
Corporate Officer
Corporate Director
W-2 Managing Employee
Feb 23, 2021
Feb 23, 2021
Feb 23, 2021
Feb 23, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1346712353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2762",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016132762",
            "telephone_number": "860-788-6404",
            "fax_number": "877-794-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N 2ND ST STE 401",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171011071",
            "telephone_number": "860-788-6404",
            "fax_number": "877-794-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANNEH",
        "first_name": "FODAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-02",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP028389",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "SP019800",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.