Individual provider Active NPI

Elizabeth Gedeon, ACRNP

  • Nurse Practitioner
  • Levittown, PA
National Provider Identifier
1669799011
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP010275 Issued in PA
Practice address
18 Alder LN
Levittown, PA 19055-1208
Phone
(212) 964-1595
NPI assigned
Apr 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP010275 PA Primary

Addresses

Primary practice location

18 Alder LN
Levittown, PA 19055-1208

Mailing address

18 Alder LN
Levittown, PA 19055-1208
Phone (212) 964-1595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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
I20190125000120 PA Practitioner - Nurse Practitioner 6608162078 Reassigns benefits to 2 organizations
I20230418000703 NJ Practitioner - Nurse Practitioner 6608162078 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services of New Jersey LLC Nurse Practitioner CurrentSince Jul 6, 2023 Accepting new patients
Comprehensive Care Medical Associates P C CurrentSince Apr 2, 2021 Accepting new patients
Seasons Medical Group of Pennsylvania, P.C. CurrentSince Apr 26, 2021 Accepting new patients
Monogram Health Professional Services PC Nurse Practitioner CurrentSince Jul 2, 2024 Accepting new patients
Pulse Vascular, LLC CurrentSince Feb 15, 2023 Accepting new patients
Seasons Hospice & Palliative Care of Pennsylvania, LLC Past Accepting new patients

Locations

140 E Ridgewood Ave
Ste 415
Paramus, NJ 07652
Phone (201) 720-1900

994 W Sherman Ave
Bldg 2
Vineland, NJ 08360
Phone (631) 534-7246

2200 Renaissance Blvd
Ste 110
King of Prussia, PA 19406
Phone (610) 382-1800

100 N Buckstown Rd
Ste E206
Langhorne, PA 19047
Phone (215) 741-1963

1650 Market St
Ste 3600
Philadelphia, PA 19103
Phone (267) 362-3232

Interoperability endpoints

  • Direct secure messaging: elizabeth.gedeon.1@22854.direct.athenahealth.com

Organizations & group practices 6

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": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272240000000",
    "number": "1669799011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ALDER LN",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190551208",
            "telephone_number": "212-964-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ALDER LN",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190551208",
            "telephone_number": "212-964-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDEON",
        "first_name": "ELIZABETH",
        "credential": "ACRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP010275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

Verify at the official NPI Registry.