Individual provider Active NPI

Ilona Rochelle Zeldich, NP

  • Family Nurse Practitioner
  • Folsom, PA
National Provider Identifier
1609604644
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP029992 Issued in PA
Practice address
301 E Macdade Blvd FL 1
Folsom, PA 19033-2622
Phone
(440) 371-0381
NPI assigned
Jul 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP029992 PA Primary

Addresses

Primary practice location

301 E Macdade Blvd FL 1
Folsom, PA 19033-2622

Mailing address

3618 Glen Way
Huntingdon Valley, PA 19006-3004
Phone (267) 625-1297

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
I20240805001226 PA Practitioner - Nurse Practitioner 3870030158 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Afra Health Inc CurrentSince Jun 28, 2024 Accepting new patients
Lotus Leaf Medical PC Family CurrentSince Aug 1, 2024 Accepting new patients

Locations

301 E Macdade Blvd
Folsom, PA 19033
Phone (856) 866-6944

301 E Macdade Blvd
Fl 1
Folsom, PA 19033
Phone (445) 300-8607

589 Bethlehem Pike
Ste 400
Montgomeryvle, PA 18936
Phone (267) 227-1811

Organizations & group practices 2

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": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1609604644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 GLEN WAY",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063004",
            "telephone_number": "267-625-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E MACDADE BLVD FL 1",
            "city": "FOLSOM",
            "state": "PA",
            "postal_code": "190332622",
            "telephone_number": "440-371-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELDICH",
        "first_name": "ILONA",
        "middle_name": "ROCHELLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP029992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, PA

Sources for this page

Verify at the official NPI Registry.