Edella Street Associates

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

053202 Issued in PA

Legal business name

EDELLA STREET ASSOCIATES

Doing business as

Abington Manor

Practice address

100 Edella Rd
Clarks Summit, PA 18411-1628

Phone

(570) 586-1002

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Jane Dropeskey

Title

Corporite Manager

Phone

(610) 925-4231

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Abington Manor Doing business as

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1699720433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "610-925-4436",
            "fax_number": "610-925-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EDELLA RD",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111628",
            "telephone_number": "570-586-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDELLA STREET ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "DROPESKEY",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "CORPORITE MANAGER",
        "authorized_official_telephone_number": "610-925-4231"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "053202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET OF PA",
            "identifier": "IY0169",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF NORTHEASTERN PA",
            "identifier": "39-5701",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-HMO",
            "identifier": "82284",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLANS",
            "identifier": "21349",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US FAMILY HEALTH PLAN",
            "identifier": "317116",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010076320001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "080314",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abington Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Richard Druffner, MD
• Nichole Duden, LSW
• Kelley Dussinger, M.S., CCC/SLP
• Michael F Dymek
• Edella Street Associates
• Cynthia Marie Edwards-Hawver, PSY.D.
• Kathryn Egan
• Maureina Elmy, OT
• Everyday Home Health Clarks Summit
• Fellow Travelers Psychological Services, LLC

• Skilled Nursing Facility in Clarks Summit, PA
• Providers in Clarks Summit, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.