Amy N Albert, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA051885 Issued in PA

Practice address

3819 Chestnut St
Ste. 205
Philadelphia, PA 19104-3171

Phone

(215) 662-8777

Fax

(215) 243-4601

NPI assigned

Dec 28, 2006

Last updated

Feb 8, 2008By the provider in NPPES

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

Other names 1

• Amy Clevenstine Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1679639397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 CHESTNUT ST",
            "address_2": "STE 205",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043171",
            "fax_number": "215-243-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 CHESTNUT ST",
            "address_2": "STE. 205",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043171",
            "telephone_number": "215-662-8777",
            "fax_number": "215-243-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERT",
        "first_name": "AMY",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA051885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "CLEVENSTINE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Albert Einstein Medical Center (Einstein at Center One Pharmacy)
• Albert Einstein Medical Center
• Albert Einstein Medical Center
• Albert Einstin Healthcare Network
• Albert Eintein Medical Center
• Johanna Albert
• Lawrence Albert, MD
• Lewis M Albert, D.P.M.
• Sonya Romana Albert, RPH
• Amelia Hope Alberts, MD

• Medical Physician Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.