Individual provider Active NPI

Judith Tan Navarro, M.D.

  • Psychiatry Physician
  • Wynnewood, PA
National Provider Identifier
1437173994
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD066148L Issued in PA
Practice address
1448 Manoa Rd
Wynnewood, PA 19096-3502
Phone
(610) 896-8026
NPI assigned
Jul 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD066148L PA Primary

Addresses

Primary practice location

1448 Manoa Rd
Wynnewood, PA 19096-3502

Mailing address

1448 Manoa Rd
Wynnewood, PA 19096-3502
Phone (610) 896-8026

Other identifiers 2

IdentifierTypeStateIssuer
0017829200001MedicaidPA
0339835OtherPABS NUMBER

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031210000556 PA Practitioner - Psychiatry 2860398849 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Mar 25, 2021 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jan 21, 2024 Accepting new patients
Einstein Practice Plan Inc CurrentSince Oct 4, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jan 21, 2024 Accepting new patients
Einstein Practice Plan Inc Psychiatry CurrentSince Oct 4, 2024 Accepting new patients
University of Penn-Medical Group CurrentSince Mar 25, 2021 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
New Life of Community Health Services, Inc. Past Accepting new patients
Ephrata Community Hospital Past Accepting new patients
New Life of Community Health Services, Inc. PastSince Oct 9, 2003 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Psychiatry Past Accepting new patients
Mercy Management of Sepa PastSince Feb 4, 2017 Accepting new patients

Locations

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

1503 Lansdowne Ave
Ste 3001
Darby, PA 19023
Phone (610) 586-4100

1503 Lansdowne Ave
Ste 3003
Darby, PA 19023
Phone (610) 586-4100

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046

501 S 54th St
#P
Philadelphia, PA 19143
Phone (215) 748-9707

501 S 54th St
Ste 186210227228
Philadelphia, PA 19143
Phone (215) 748-9653

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

Interoperability endpoints

  • Direct secure messaging: jnavarro2016034@direct.trinity-health.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437173994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 MANOA RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963502",
            "telephone_number": "610-896-8026",
            "fax_number": "610-896-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 MANOA RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963502",
            "telephone_number": "610-896-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARRO",
        "first_name": "JUDITH",
        "middle_name": "TAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD066148L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017829200001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS NUMBER",
            "identifier": "0339835",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.