Organization Active NPI

Prohealth Associates LLC

  • Family Nurse Practitioner
  • Huntingdon Valley, PA
National Provider Identifier
1518567106
Registry record updated Oct 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PROHEALTH ASSOCIATES LLC
Practice address
296 Ames Cir
Huntingdon Valley, PA 19006-7976
Phone
(267) 738-0576
NPI assigned
Oct 31, 2020
Last updated
Oct 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2020

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

Authorized official

Name
Anitha George, CRNPNPI 1760813133
Title
Medical Director
Phone
(267) 738-0576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

296 Ames Cir
Huntingdon Valley, PA 19006-7976

Mailing address

296 Ames Cir
Huntingdon Valley, PA 19006-7976
Phone (267) 738-0576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201203001066 PA Part B Supplier - Clinic/Group Practice 5395156970 Receives reassigned benefits from 2 practitioners
Practice locations: Huntingdon Valley, PA; Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

10431 Academy Rd
Ste J
Philadelphia, PA 19114
Phone (215) 637-4300

10501 Academy Rd
Ste 21J
Philadelphia, PA 19114

9963 Bustleton Ave
Philadelphia, PA 19115
Phone (215) 464-2753

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1604102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604102400000",
    "number": "1518567106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 AMES CIR",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190067976",
            "telephone_number": "267-738-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 AMES CIR",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190067976",
            "telephone_number": "267-738-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-31",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "ANITHA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "267-738-0576",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2020; 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.