Active NPI
Asociacion de Puertorriquenos En Marcha, Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Philadelphia, PA
National Provider Identifier
1497932479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 807241
- Legal business name
- ASOCIACION DE PUERTORRIQUENOS EN MARCHA, INC.
- Practice address
- 4301 Rising Sun Ave
Philadelphia, PA 19140-2719 - Phone
- (267) 296-7220
- Fax
- (215) 324-1153
- NPI assigned
- Jan 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nilda Ruiz
- Title
- Executive Director
- Phone
- (267) 296-7200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 807241 | PA | Primary |
Addresses
Primary practice location
4301 Rising Sun Ave
Philadelphia, PA 19140-2719
Mailing address
1900 N 9TH St
Philadelphia, PA 19122-2024
Phone (267) 296-7200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003114240006 | Medicaid | PA | |
| 1003114240031 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- Asociacion de Puertorri
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Philadelphia, PA
- NPI 1003093121
-
- Community Health Clinic/Center
- Philadelphia, PA
- NPI 1366698607
-
- Health Service Clinic/Center
- Philadelphia, PA
- NPI 1457507790
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Philadelphia, PA
- NPI 1568649200
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Philadelphia, PA
- NPI 1831376946
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Philadelphia, PA
- NPI 1982657987
Locations
4301 Rising Sun Ave
Philadelphia, PA 19140
Phone (267) 296-7220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455235200000",
"number": "1497932479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 N 9TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191222024",
"telephone_number": "267-296-7200",
"fax_number": "215-687-8954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 RISING SUN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191402719",
"telephone_number": "267-296-7220",
"fax_number": "215-324-1153"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASOCIACION DE PUERTORRIQUENOS EN MARCHA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-22",
"last_updated": "2016-02-12",
"status": "A",
"authorized_official_last_name": "RUIZ",
"authorized_official_first_name": "NILDA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "267-296-7200",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "PA",
"license": "807241",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003114240006",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003114240031",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- Anu Asnaani
- Leon Asnadi
- Asociacion de Puertorriquenos En Marcha, Inc.
- Asociacion de Puertorriquenos En Marcha, Inc.
- Asociacion de Puertorriquenos En Marcha, Inc.
- Asociacion de Puertorriquenos En Marcha, Inc.
- Asociacion de Puertorriquenos En Marcha, Inc.
- Asociacion Puertorriquenos En Marcha
- Priscilla N. Asonye, MSN, CRNP
- Asorta Care Agency LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.