Individual provider Active NPI

Priyanka Jindal, CRNP-BC

  • Family Nurse Practitioner
  • Sharon Hill, PA
National Provider Identifier
1457721235
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015334 Issued in PA
Practice address
907 Chester Pike
Sharon Hill, PA 19079-1411
Phone
(610) 715-0127
NPI assigned
Oct 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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 SP015334 PA Primary

Addresses

Primary practice location

907 Chester Pike
Sharon Hill, PA 19079-1411

Mailing address

4725 Baltimore Ave
Apartment Number 3F
Philadelphia, PA 19143-2040
Phone (267) 240-5579

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
I20171101000297 PA Practitioner - Nurse Practitioner 4789950023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
AIDS Care GroupGroup PAC ID 2264345933, 15 clinicians

Practice addresses (Care Compare)

2304 Edgemont Ave
Chester, PA 19013-5038
Phone (610) 872-9101

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Care Group CurrentSince Aug 6, 2017 Accepting new patients
AIDS Care Group CurrentSince Aug 6, 2017 Accepting new patients

Locations

2304 Edgmont Ave
Chester, PA 19013
Phone (610) 872-9101

2201 Providence Ave
Chester, PA 19013
Phone (610) 583-1177

1300 Chester Pike
Sharon Hill, PA 19079
Phone (610) 583-1177

907 Chester Pike
Sharon Hill, PA 19079
Phone (610) 389-2300

1220 Chester Pike
Sharon Hill, PA 19079
Phone (610) 586-2122

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1457721235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 BALTIMORE AVE",
            "address_2": "APARTMENT NUMBER 3F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191432040",
            "telephone_number": "267-240-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 CHESTER PIKE",
            "city": "SHARON HILL",
            "state": "PA",
            "postal_code": "190791411",
            "telephone_number": "610-715-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JINDAL",
        "first_name": "PRIYANKA",
        "credential": "CRNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon Hill, PA

Sources for this page

Verify at the official NPI Registry.