Individual provider Active NPI

Gillian Salanda Ashman-Reid, MD

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1366843138
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD458577 Issued in PA
Practice address
5675 N Front St Ste 141
Philadelphia, PA 19120-2719
Phone
(267) 428-6575
Fax
(267) 262-6265
NPI assigned
Sep 11, 2014
Last updated
Jan 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA09987900 NJ
Family Medicine Physician 207Q00000X MD458577 PA Primary

Addresses

Primary practice location

5675 N Front St Ste 141
Philadelphia, PA 19120-2719

Mailing address

5675 N Front St Ste 141
Philadelphia, PA 19120-2719
Phone (267) 428-6575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160809000647 PA Practitioner - Family Practice 9638463078 Reassigns benefits to 1 organization
I20171221000018 NJ Practitioner - Family Practice 9638463078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5675 N Front St
141 Dedicated Pennsylvania Olney
Philadelphia, PA 19120-2719
Phone (267) 428-6575

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Jersey Family Medical Centers, Inc. CurrentSince Nov 27, 2017 Accepting new patients
Dedicated Pennsylvania Holding, LLC CurrentSince Dec 15, 2020 Accepting new patients
Dedicated Pennsylvania Holding, LLC Current Accepting new patients
Southern Jersey Family Medical Centers, Inc CurrentSince Nov 27, 2017 Accepting new patients
Dedicated Pennsylvania Holding, LLC Family Medicine CurrentSince Dec 15, 2020 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

651 High St
Burlington City, NJ 08016
Phone (609) 386-0775

1 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

860 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

600 Pemberton Browns Mills Rd
Pemberton, NJ 08068
Phone (609) 726-7000

5675 N Front St
Ste 141
Philadelphia, PA 19120
Phone (267) 428-6575

Organizations & group practices 5

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": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1366843138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5675 N FRONT ST STE 141",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202719",
            "telephone_number": "267-428-6575",
            "fax_number": "267-262-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5675 N FRONT ST STE 141",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202719",
            "telephone_number": "267-428-6575",
            "fax_number": "267-262-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHMAN-REID",
        "first_name": "GILLIAN",
        "middle_name": "SALANDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09987900",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD458577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.