Individual provider Active NPI

Jincy Jijo, CRNP

  • Family Nurse Practitioner
  • Elkins Park, PA
National Provider Identifier
1427704402
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP025119 Issued in PA
Practice address
8118 Old York Rd
Elkins Park, PA 19027-1423
Phone
(215) 635-3151
NPI assigned
Feb 28, 2022
Last updated
Jul 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP025119 PA Primary

Addresses

Primary practice location

8118 Old York Rd
Elkins Park, PA 19027-1423

Mailing address

2156 Street Rd
Warrington, PA 18976-2337
Phone (215) 298-3547

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
I20221122003288 PA Practitioner - Nurse Practitioner 8729456702 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Rite Med Group of PA PLLCGroup PAC ID 1254703671, 9 clinicians

Practice addresses (Care Compare)

7650 Route 309
Coopersburg, PA 18036-2130
Phone (610) 282-1919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP025119PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Medical Services LLC CurrentSince Aug 5, 2022 Accepting new patients
Rite Med Group of PA PLLC CurrentSince Jun 15, 2024 Accepting new patients

Locations

7650 Route 309
Coopersburg, PA 18036
Phone (610) 282-1919

1427 Horsham Rd
North Wales, PA 19454
Phone (215) 277-7132

845 Germantown Pike
Plymouth Mtng, PA 19462
Phone (610) 279-7300

5501 Perkiomen Ave
Reading, PA 19606
Phone (610) 779-0600

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, 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": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1427704402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2156 STREET RD",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189762337",
            "telephone_number": "215-298-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 OLD YORK RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271423",
            "telephone_number": "215-635-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIJO",
        "first_name": "JINCY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP025119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

Verify at the official NPI Registry.