Active NPI
Senior Health Associates
- Geriatric Medicine (Family Medicine) Physician
- Philadelphia, PA
National Provider Identifier
1669410387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 101301
- Legal business name
- SENIOR HEALTH ASSOCIATES
- Practice address
- 7604 Central Ave
Philadelphia, PA 19111-2433 - Phone
- (215) 742-2100
- NPI assigned
- Jun 3, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gerald P Oetzel
- Title
- Cfo
- Phone
- (215) 728-3306
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 101301 | PA | Primary |
Addresses
Primary practice location
7604 Central Ave
Philadelphia, PA 19111-2433
Mailing address
7604 Central Ave
Philadelphia, PA 19111-2433
Phone (215) 742-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19033 | Other | PA | HEALTH PARTNERS GROUP ID |
National Provider Directory
National Provider Directory- Tax ID family
- Jeanes Hospital Physica
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Philadelphia, PA
- NPI 1073799961
-
- General Acute Care Hospital
- Elkins Park, PA
- NPI 1538417068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1669410387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7604 CENTRAL AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191112433",
"telephone_number": "215-742-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7604 CENTRAL AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191112433",
"telephone_number": "215-742-2100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR HEALTH ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "OETZEL",
"authorized_official_first_name": "GERALD",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "215-728-3306",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "PA",
"license": "101301",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS GROUP ID",
"identifier": "19033",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
- Senior Bridge Caring Home Agency LLC
- Senior Care Centers of Pennsylvania, Inc. (Active Day of Overbrook Park)
- Senior Care Centers of Pennsylvania, Inc. (Active Day of Center City)
- Senior Care Centers of Pennsylvania, Inc. (Active Day of the Northeast)
- Senior Connections Home Care Agency
- Senior Pride Adult Day Care LLC
- Senior Smile Homecare LLC
- Hailey Elizabeth Senior, PA-C
- Lynn A Senior, LCSW
- Seniorwell of Pennsylvania, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.