Bailey Ivanoski, CRNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

SP028184 Issued in PA

Practice address

261 Old York Rd Ste 620
Jenkintown, PA 19046-3719

Phone

(215) 885-8700

NPI assigned

Sep 11, 2023

Last updated

Sep 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Pediatric Care Group, P.C.

  • Pediatrics Physician
  • Richboro, PA
  • NPI 1023652708
  NPD (past)
• Pediatric Care Group, P.C.

  dba Pediatric Care Group

  • Pediatrics Physician
  • Jenkintown, PA
  • NPI 1760451421
  NPD (past)
• Chop Clinical Associates, Inc

  dba CHOP Primary Care Moorestown

  • Pediatrics Physician
  • Moorestown, NJ
  • NPI 1891870432
  NPD (past)
• Chop Clinical Associates, Inc.

  dba Care Network Smithville

  • Pediatrics Physician
  • Smithville, NJ
  • NPI 1669552451
  NPD (past)

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1417734708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 RUTGERS DR",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751610",
            "telephone_number": "856-220-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD STE 620",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463719",
            "telephone_number": "215-885-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "890 Second Street Pike Ste 904",
            "address_purpose": "LOCATION",
            "city": "Richboro",
            "state": "PA",
            "postal_code": "189541021",
            "country_code": "US",
            "telephone_number": "215-515-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVANOSKI",
        "first_name": "BAILEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP028184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Ann Ingelse, PSY.D.
• Instilling Hope LLC
• Interface Psych Services, Inc
• International Medical Supplies LLC
• It Takes a Breath, LLC
• Tammy Lynn Jabarin, MSW,MT
• Carmella Jackson, LPC
• Monee Jackson
• Carl J Jacobsen Sr., CERTIFIED OPTICIAN A
• Mindy Jacobson Levy, MCAT, ATR-BC, LPC

• Pediatric Nurse Practitioner in Jenkintown, PA
• Providers in Jenkintown, PA by specialty
• Pediatric Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.