Deep Well Health Care LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

DEEP WELL HEALTH CARE LLC

Practice address

7848 Old York Rd Ste 200a
Elkins Park, PA 19027-2541

Phone

(215) 422-3130

Fax

(215) 422-3148

NPI assigned

Jan 12, 2021

Last updated

Nov 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca Cherry, MDNPI 1558581082

Title

Owner

Phone

(215) 422-3194

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23303/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca Naomi Cherry, MD

  • Pediatric Gastroenterology Physician
  • Elkins Park, PA
  • NPI 1558581082

  Pediatrics

  Medicare reassignment NPD Authorized official
• Angela Arnold

  • Phlebotomy Technician
  • Houston, TX
  • NPI 1851996094

  Single Specialty

  NPD
• Elizabeth J. Walton-Phillips, LCSW

  • Clinical Social Worker
  • Bethlehem, PA
  • NPI 1831297142
  NPD (past)

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1457940793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 CHAPEL RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272504",
            "telephone_number": "215-422-3194",
            "fax_number": "215-422-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7848 OLD YORK RD STE 200A",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272541",
            "telephone_number": "215-422-3130",
            "fax_number": "215-422-3148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Virginia Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "PA",
            "postal_code": "190342706",
            "country_code": "US",
            "telephone_number": "215-422-3148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 S Warner Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194062826",
            "country_code": "US",
            "telephone_number": "215-422-3130",
            "fax_number": "215-422-3148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEEP WELL HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "CHERRY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-422-3194",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingrid Johanna Dale-Ali, LCSW
• Ramsey Michael Dallal, M.D.
• Francesca Matilde Darquea, M.D.
• Dasarang Wellness Center Inc
• Kyia Davis
• Susan Deikman, MS, BCBA, LBS
• Shifra Deitsch, LSW
• Delaware Valley Medical Equipment, Inc.
• Delaware Valley Nephrology and Hypertension Assoc PC
• Demiurge Counseling Group and Behavioral Health Consulants LLC

• Pediatrics Physician in Elkins Park, PA
• Providers in Elkins Park, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.