Active NPI
Pratistha Pradhan
- Student in an Organized Health Care Education/Training Program
- East Norriton, PA
National Provider Identifier
1376372532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- MT230705
- Practice address
- 559 W Germantown Pike
East Norriton, PA 19403-4250 - Phone
- (484) 622-1000
- NPI assigned
- Jul 29, 2024
- Last updated
- Jul 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MT230705 | PA | Primary |
Addresses
Primary practice location
559 W Germantown Pike
East Norriton, PA 19403-4250
Mailing address
2801 Stanbridge St Apt A811
East Norriton, PA 19401-1651
Phone (610) 215-8268
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT230705 | PA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1376372532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 STANBRIDGE ST APT A811",
"city": "EAST NORRITON",
"state": "PA",
"postal_code": "194011651",
"telephone_number": "610-215-8268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "559 W GERMANTOWN PIKE",
"city": "EAST NORRITON",
"state": "PA",
"postal_code": "194034250",
"telephone_number": "484-622-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRADHAN",
"first_name": "PRATISTHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-29",
"last_updated": "2024-07-29",
"certification_date": "2024-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT230705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Norriton, PA
- Jessica Marie Pidgeon, PA-C
- Laura Leigh Pinou, CRNP
- Eric Jon Pollock, MSPT
- Harry Steven Polsky, M.D.
- Lauren Elisabeth Poslock, CRNP
- Premier Orthopaedic and Sports Medicine Associates LTD
- Premier Orthopaedic and Sports Medicine Associates LTD
- Premier Orthopaedic and Sports Medicine Associates, LTD
- Leslie Melissa Presbot, MD
- Prime Healthcare Services-Suburban Hospital LLC (Suburban Community Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.