Individual provider Active NPI

Naeemah Selby, NP

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1437613395
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
SP0119895 Issued in PA
Practice address
5201 Haverford Ave
Philadelphia, PA 19139-1401
Phone
(215) 471-2761
Fax
(215) 472-6093
NPI assigned
Jan 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X SP0119895 PA Primary

Addresses

Primary practice location

5201 Haverford Ave
Philadelphia, PA 19139-1401

Mailing address

5201 Haverford Ave
Philadelphia, PA 19139-1401
Phone (215) 471-2761

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
I20200303000229 PA Practitioner - Nurse Practitioner 8921435025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Health Services IncGroup PAC ID 0840242467, 21 clinicians

Practice addresses (Care Compare)

5201 Haverford Ave
Philadelphia, PA 19139-1401
Phone (267) 275-4095

Hospital & facility affiliations

  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP0119895PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Philadelphia Health Action, Inc. CurrentSince Jan 1, 2020 Accepting new patients
Spectrum Health Services, Inc. CurrentSince Sep 11, 2023 Accepting new patients
Spectrum Health Services, Inc. CurrentSince Sep 11, 2023 Accepting new patients
Greater Philadelphia Health Action Inc. Current Accepting new patients
Greater Philadelphia Health Action Inc. CurrentSince Jan 1, 2020 Accepting new patients
Spectrum Health Services Inc Past Accepting new patients

Locations

1415 N Broad St
Ste 224
Philadelphia, PA 19122
Phone (267) 275-4095

432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000

3525 Cottman Ave
Philadelphia, PA 19149

4510 Frankford Ave
Philadelphia, PA 19124
Phone (215) 744-1302

1401 S 31st St
Philadelphia, PA 19146
Phone (215) 755-7700

1999 W Hunting Park Ave
Philadelphia, PA 19140
Phone (215) 228-9300

5201 Haverford Ave
Philadelphia, PA 19139
Phone (215) 472-6097

5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700

1401 S 31st St
#2
Philadelphia, PA 19146

Interoperability endpoints

  • Direct secure messaging: naeemah.selby.1@20090.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1437613395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 HAVERFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191391401",
            "telephone_number": "215-471-2761",
            "fax_number": "215-472-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 HAVERFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191391401",
            "telephone_number": "215-471-2761",
            "fax_number": "215-472-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELBY",
        "first_name": "NAEEMAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP0119895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.