Organization Active NPI

Aria Health Physician Services

Doing business as Central Square Medical Frankford

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1689232597
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ARIA HEALTH PHYSICIAN SERVICES
Doing business as
Central Square Medical Frankford
Practice address
5000 Frankford Ave Ste 1
Philadelphia, PA 19124-2620
Phone
(215) 831-2218
Fax
(215) 831-2545
NPI assigned
Jun 5, 2019
Last updated
Oct 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Authorized official

Name
Ronald Kumor
Title
Senior Vice President
Phone
(215) 612-4858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

5000 Frankford Ave Ste 1
Philadelphia, PA 19124-2620

Mailing address

PO Box 825395
Philadelphia, PA 19182-5395
Phone (215) 481-6873

Other names 1

  • CENTRAL SQUARE MEDICAL FRANKFORD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040224000045 PA Part B Supplier - Clinic/Group Practice 3577467018 Receives reassigned benefits from 665 practitioners
This NPI is an additional NPI on the enrollment

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2071050Central Square Frankford5000 Frankford Avenue, Philadelphia, PA 19124Certificate of waiverApr 23, 2028

National Provider Directory

National Provider Directory
Tax ID family
Aria HLTH Phys SVCS56 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1689232597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 825395",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191825395",
            "telephone_number": "215-481-6873",
            "fax_number": "215-481-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 FRANKFORD AVE STE 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242620",
            "telephone_number": "215-831-2218",
            "fax_number": "215-831-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIA HEALTH PHYSICIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "KUMOR",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "215-612-4858"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL SQUARE MEDICAL FRANKFORD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CENTRAL SQUARE MEDICAL FRANKFORD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.