Organization Active NPI

Lexia Health

  • General Practice Physician
  • Philadelphia, PA
National Provider Identifier
1609699081
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
LEXIA HEALTH
Practice address
2119 E Norris St
Philadelphia, PA 19125-1924
Phone
(973) 400-9564
NPI assigned
Nov 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Dr. Avinash Ravilla, DO
Title
President
Phone
(973) 400-9564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2119 E Norris St
Philadelphia, PA 19125-1924

Mailing address

58 Juniper Ter
Tuxedo Park, NY 10987-4769
Phone (973) 400-9564

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1609699081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 JUNIPER TER",
            "city": "TUXEDO PARK",
            "state": "NY",
            "postal_code": "109874769",
            "telephone_number": "973-400-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 E NORRIS ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191251924",
            "telephone_number": "973-400-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXIA HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "RAVILLA",
        "authorized_official_first_name": "AVINASH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-400-9564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.