Individual provider Active NPI

Swapna Muppaneni

  • Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1649678046
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00355400 Issued in NJ
Practice address
2010 Levick St
Philadelphia, PA 19149-2928
Phone
(123) 456-7890
NPI assigned
Dec 17, 2014
Last updated
Feb 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00355400 NJ Primary
Medical Physician Assistant 363AM0700X MA057265 PA

Addresses

Primary practice location

2010 Levick St
Philadelphia, PA 19149-2928

Mailing address

2010 Levick St
Philadelphia, PA 19149-2928

Other practice location 1

2141 Route 38
Apt #304
Cherry Hill, NJ 08002-4202
Phone (484) 695-8582

Other identifiers 2

IdentifierTypeStateIssuer
---Other--
--Other--

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL -- Direct
Other URL --

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150202001486 NJ Practitioner - Physician Assistant 6002131620 Reassigns benefits to 1 organization
I20150202001684 PA Practitioner - Physician Assistant 6002131620 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of New Jersey PA CurrentSince Jul 6, 2015 Accepting new patients
American Current Care P.a. CurrentSince Jan 27, 2016 Accepting new patients
American Current Care P.a. CurrentSince Jan 27, 2016 Accepting new patients
American Current Care of New Jersey PA Current Accepting new patients
American Current Care of New Jersey PA CurrentSince Jul 6, 2015 Accepting new patients

Locations

595 Division St
Elizabeth, NJ 07201
Phone (908) 289-5646

817 E Gate Dr
#102
Mount Laurel, NJ 08054
Phone (856) 778-1090

2010 Levick St
Philadelphia, PA 19149
Phone (215) 537-4755

15 Freeport Rd
Ste 100
Pittsburgh, PA 15215
Phone (412) 784-1551

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1649678046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 LEVICK ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 LEVICK ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492928",
            "telephone_number": "123-456-7890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2141 Route 38",
            "address_2": "Apt #304",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080024202",
            "country_code": "US",
            "telephone_number": "484-695-8582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUPPANENI",
        "first_name": "SWAPNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-17",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00355400",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057265",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": null,
            "identifier": "---",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2010 Levick St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191492928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "affiliation": "N",
            "address_1": "2010 Levick St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191492928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.