Active NPI
Paul Mensah
- Gerontology Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- SP022088
- Practice address
- 7515 Stenton Ave
Philadelphia, PA 19150-3710 - Phone
- (267) 335-5273
- NPI assigned
- Jul 1, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | SP022088 | PA | Primary |
Addresses
Primary practice location
7515 Stenton Ave
Philadelphia, PA 19150-3710
Mailing address
706 Redwood Ave
Yeadon, PA 19050-3326
Phone (267) 449-9387
Other practice location 1
703 Cecil B Moore Ave
Philadelphia, PA 19122-2901
Phone (215) 763-9564
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Stenton | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
25 N Lansdowne Ave
Lansdowne, PA 19050-2205
Phone (631) 268-5644
7236 Elmwood Ave
Philadelphia, PA 19142-1533
Phone (267) 903-1777
7515 Stenton Ave
Philadelphia, PA 19150-3710
Phone (267) 335-5264
Hospital & facility affiliations
- Mercy Catholic Medical Center- Mercy Fitzgerald
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP022088 | PA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ennoble HC NJ PC | Current | Accepting new patients | |
| Osh - PA Physicians Group, PC | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Pama Medical Center PLLC | Gerontology | Current | Accepting new patients |
| Excel Medical Center | Current | Accepting new patients | |
| Medical Providers Partners PLLC | Current | Accepting new patients | |
| University of Penn - Medical Group | Current | Accepting new patients |
Locations
2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142
25 N Lansdowne Ave
Lansdowne, PA 19050
Phone (631) 268-5644
5050 Parkside Ave
Philadelphia, PA 19131
Phone (215) 390-1742
2724 N 5th St
Philadelphia, PA 19133
Phone (215) 739-8777
7515 Stenton Ave
Philadelphia, PA 19150
Phone (215) 842-5246
703 Cecil B Moore Ave
Philadelphia, PA 19122
Phone (215) 457-7246
3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484
208 W Chelten Ave
Philadelphia, PA 19144
Phone (215) 849-3104
325 Chestnut St
Ste 800
Philadelphia, PA 19106
Phone 9732411356 ext. 11356
Interoperability endpoints
- https://api.platform.athenahealth.com/25233/brand/1/csg/1/fhir/r4
Organizations & group practices 7
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.
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- NPI 1104682509
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- NPI 1811405533
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593561600000",
"number": "1629695036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 REDWOOD AVE",
"city": "YEADON",
"state": "PA",
"postal_code": "190503326",
"telephone_number": "267-449-9387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7515 STENTON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191503710",
"telephone_number": "267-335-5273"
}
],
"practiceLocations": [
{
"address_1": "703 Cecil B Moore Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191222901",
"country_code": "US",
"telephone_number": "215-763-9564",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENSAH",
"first_name": "PAUL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-01",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "PA",
"license": "SP022088",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Stenton",
"affiliation": "N",
"endpointDescription": "Stenton",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"useOtherDescription": "Yeadon",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7515 Stenton Ave",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191503710",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.