Individual provider Active NPI

Manju Philip-Nedumakel

  • Clinical Social Worker
  • Yardley, PA
National Provider Identifier
1508416645
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW020356 Issued in PA
Practice address
301 Oxford Valley Rd
Ste 1803a
Yardley, PA 19067-7725
Phone
(732) 688-7468
NPI assigned
Sep 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW020356 PA Primary

Addresses

Primary practice location

301 Oxford Valley Rd
Ste 1803a
Yardley, PA 19067-7725

Mailing address

PO Box 1044
Yardley, PA 19067
Phone (732) 688-7468

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200121000417 PA Practitioner - Clinical Social Worker 3577998509 Reassigns benefits to 1 organization
Practice locations: Yardley, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aria Health Physician ServicesGroup PAC ID 3577467018, 456 clinicians

Practice addresses (Care Compare)

1310 Frosty Hollow Rd
Levittown, PA 19056-2404
Phone (215) 949-6622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Health Physician Services Current Accepting new patients
Aria Health Physician Services CurrentSince Jan 1, 2021 Accepting new patients
Aria Health Physician Services CurrentSince Jan 1, 2021 Accepting new patients

Locations

2426 Bristol Rd
Bensalem, PA 19020
Phone (215) 757-1533

240 Middletown Blvd
Ste 101C
Langhorne, PA 19047
Phone (215) 550-9999

1310 Frosty Hollow Rd
Levittown, PA 19056
Phone (215) 949-6622

5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355

Organizations & group practices 3

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": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1508416645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1044",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "19067",
            "telephone_number": "732-688-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 OXFORD VALLEY RD",
            "address_2": "STE 1803A",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190677725",
            "telephone_number": "732-688-7468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIP-NEDUMAKEL",
        "first_name": "MANJU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

Verify at the official NPI Registry.