Individual provider Active NPI

Parisa Parsa, FNP

  • Family Nurse Practitioner
  • Lawrenceville, NJ
National Provider Identifier
1609320860
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01010900 Issued in NJ
Practice address
2721 Brunswick Pike
Lawrenceville, NJ 08648-4106
Phone
(806) 882-2577
NPI assigned
Aug 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP016217 PA
Family Nurse Practitioner 363LF0000X 26NJ01010900 NJ Primary

Addresses

Primary practice location

2721 Brunswick Pike
Lawrenceville, NJ 08648-4106

Mailing address

2721 Brunswick Pike
Lawrenceville, NJ 08648-4106
Phone (609) 882-2577

Other practice location 1

2721 Brunswick Pike
Lawrenceville, NJ 08648-4106
Phone (609) 882-2577

Other names 1

  • Parisa Salehi-Allam Former name

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
I20170221000077 PA Practitioner - Nurse Practitioner 3173819398 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01010900NJMDNurse Practitioner
SP016217PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Management Corporation CurrentSince Jan 1, 2018 Accepting new patients
Public Health Management Corporation CurrentSince Jan 1, 2018 Accepting new patients
Lifeline Medical Center Family CurrentSince Aug 25, 2023 Accepting new patients
Public Health Management Corporation Current Accepting new patients

Locations

1415 Eisenhower Blvd
#B
Johnstown, PA 15904
Phone (814) 266-1616

125 S 9th St
Philadelphia, PA 19107
Phone (215) 592-4500

5675 N Front St
Philadelphia, PA 19120
Phone (215) 224-0440

1500 Market St
Ste LM500
Philadelphia, PA 19102
Phone (215) 731-6150

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20067/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1609320860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 BRUNSWICK PIKE",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484106",
            "telephone_number": "609-882-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 BRUNSWICK PIKE",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484106",
            "telephone_number": "806-882-2577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2721 Brunswick Pike",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "NJ",
            "postal_code": "086484106",
            "country_code": "US",
            "telephone_number": "609-882-2577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARSA",
        "first_name": "PARISA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016217",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01010900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PARISA",
            "last_name": "SALEHI-ALLAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.