Individual provider Active NPI

Paul Mensah

  • Gerontology Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1629695036
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP022088 Issued in PA
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

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200817001067 PA Practitioner - Nurse Practitioner 1052737459 Reassigns benefits to 6 organizations

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
Medical Providers Partners PLLCGroup PAC ID 3375987480, 11 clinicians
Excel Medical CenterGroup PAC ID 7315132537, 20 clinicians

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 Hospital, Darby, PA, CCN 390156

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP022088PAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ennoble HC NJ PC CurrentSince Feb 12, 2024 Accepting new patients
Osh - PA Physicians Group, PC CurrentSince Dec 13, 2021 Accepting new patients
University of Penn-Medical Group CurrentSince Aug 7, 2023 Accepting new patients
Pama Medical Center PLLC Gerontology CurrentSince Aug 1, 2024 Accepting new patients
Excel Medical Center CurrentSince Jul 6, 2020 Accepting new patients
Medical Providers Partners PLLC CurrentSince Oct 1, 2025 Accepting new patients
University of Penn - Medical Group CurrentSince Aug 7, 2023 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.