Active NPI
Concetta M Poidomani, CRNP
- Women's Health Nurse Practitioner
- Phoenixville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- SP012305
- Practice address
- 799 Gay St
Phoenixville, PA 19460-4409 - Phone
- (610) 935-0644
- Fax
- (610) 935-7757
- NPI assigned
- Sep 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | SP012305 | PA | Primary |
Addresses
Primary practice location
799 Gay St
Phoenixville, PA 19460-4409
Mailing address
PO Box 22581
New York, NY 10087-2581
Phone (610) 482-4795
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | concetta.poidomani@axia.eclinicaldirectplus.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
799 Gay St
Phoenixville, PA 19460-4409
Phone (610) 933-2440
Hospital & facility affiliations
- Phoenixville Hospital
- Pottstown Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Womens Health Group LLC | Current | Accepting new patients | |
| Regional Women'S Health Group, LLC | Past | Accepting new patients |
Locations
919 Conestoga Rd
Ste 104
Bryn Mawr, PA 19010
Phone (610) 525-6400
400 Enterprise Dr
Ste 103
Limerick, PA 19468
Phone (610) 495-2380
799 Gay St
Phoenixville, PA 19460
Phone (610) 933-2440
85 Old Eagle School Rd
Wayne, PA 19087
Phone (610) 688-3744
Interoperability endpoints
- concetta.poidomani@axia.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Phoenixville, PA
- NPI 1750880118
-
- Obstetrics & Gynecology Physician
- Voorhees, NJ
- NPI 1548215536
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenixville, PA
- NPI 1750805552
-
- General Acute Care Hospital
- Pottstown, PA
- NPI 1649794421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625529600000",
"number": "1689924482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22581",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100872581",
"telephone_number": "610-482-4795",
"fax_number": "856-528-3117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "799 GAY ST",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194604409",
"telephone_number": "610-935-0644",
"fax_number": "610-935-7757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POIDOMANI",
"first_name": "CONCETTA",
"middle_name": "M",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-19",
"last_updated": "2021-07-06",
"certification_date": "2021-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "PA",
"license": "SP012305",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "concetta.poidomani@axia.eclinicaldirectplus.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "799 Gay St",
"city": "Phoenixville",
"state": "PA",
"country_code": "US",
"postal_code": "194604409",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Phoenixville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.