Individual provider Active NPI

Noelle Elizabeth Mullanaphy, PA-C

  • Medical Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1346720059
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
OA004557 Issued in PA
Practice address
4031 Sheffield St
Philadelphia, PA 19136-3101
Phone
(215) 331-9940
Fax
(215) 331-9943
NPI assigned
Aug 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X OA004557 PA Primary

Addresses

Primary practice location

4031 Sheffield St
Philadelphia, PA 19136-3101

Mailing address

3402 F St
Philadelphia, PA 19134-1225

Other practice location 1

3402 F St
Philadelphia, PA 19134-1225
Phone (215) 634-5481

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
I20230823002932 PA Order and Referring Only - Physician Assistant 9638532625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OA004557PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan B. Levyn, D.O. PC Current Accepting new patients
Jonathan B Levyn, DO-PC Medical Current Accepting new patients

Locations

3402 F St
Philadelphia, PA 19134
Phone (215) 634-5481

4031 Sheffield Ave
Philadelphia, PA 19136
Phone (215) 331-9940

Organizations & group practices 2

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": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1346720059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 F ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 SHEFFIELD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191363101",
            "telephone_number": "215-331-9940",
            "fax_number": "215-331-9943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3402 F St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191341225",
            "country_code": "US",
            "telephone_number": "215-634-5481",
            "fax_number": "215-634-0368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLANAPHY",
        "first_name": "NOELLE",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA004557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.