Gina Slobogin, CRNP

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

SP016510 Issued in PA

Practice address

400 Cherry Tree Rd
Upper Chichester, PA 19014-2406

Phone

(610) 485-6700

NPI assigned

Aug 28, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13566/brand/1/csg/1/fhir/r4

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.

• Ware Medical Associates PC

  • Internal Medicine Physician
  • Aston, PA
  • NPI 1114953668
  Medicare reassignment NPD
• Ware Medical Associates

  • General Practice Physician
  • Upper Chichester, PA
  • NPI 1427508670
  NPD (past) Authorized official

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472342400000",
    "number": "1639625809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CHERRY TREE RD",
            "city": "UPPER CHICHESTER",
            "state": "PA",
            "postal_code": "190142406",
            "telephone_number": "610-485-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CHERRY TREE RD",
            "city": "UPPER CHICHESTER",
            "state": "PA",
            "postal_code": "190142406",
            "telephone_number": "610-485-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOBOGIN",
        "first_name": "GINA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PA",
            "license": "SP016510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Roth
• Jashank Sampat, DMD
• Nina Marie Scola
• Charlene T Simpson, OTR
• Sisters Comforting Hands LLC
• Maria Jeanette Smith
• Anabel C Solano
• Donielle Sprewell
• Stephanie Stutz, OTR/L
• Sweet Tooth Family Dentistry PC

• Adult Medicine Physician in Upper Chichester, PA
• Providers in Upper Chichester, PA by specialty
• Adult Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.