Active NPI
Erik J Simmons
- Home Infusion Agency
- Philadelphia, PA
National Provider Identifier
1386309524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Agency
- Practice address
- 5623 N 11TH St
Philadelphia, PA 19141-3607 - Phone
- (267) 303-3058
- NPI assigned
- Nov 2, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | |||
| Home Infusion Agency | 251F00000X | Primary |
Addresses
Primary practice location
5623 N 11TH St
Philadelphia, PA 19141-3607
Mailing address
5623 N 11TH St
Philadelphia, PA 19141-3607
Phone (267) 303-3058
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.hnrnursing.com | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forever Young Senior Care Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Adult Day Care Clinic/Center
- Blue Bell, PA
- NPI 1992141873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1386309524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5623 N 11TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191413607",
"telephone_number": "267-303-3058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5623 N 11TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191413607",
"telephone_number": "267-303-3058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "ERIK",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-02",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.hnrnursing.com",
"affiliation": "N",
"endpointDescription": "Laptop",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Heart N Rhythm Nursing",
"address_1": "5623 N th 11th Street",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "19141",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.