Anoob Daniel Mohan, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP029374 Issued in PA

Practice address

23 E la Crosse Ave
Lansdowne, PA 19050-2002

Phone

(610) 394-2130

Fax

(610) 394-2177

NPI assigned

Sep 28, 2024

Last updated

Sep 28, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kazi M Islam MD & Associates

  dba Kazi M Islam MD

  • Pediatrics Physician
  • Lansdowne, PA
  • NPI 1538582069
  NPD (past)

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

{
    "created_epoch": "1727481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727481600000",
    "number": "1700604873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 E LA CROSSE AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190502002",
            "telephone_number": "610-394-2130",
            "fax_number": "610-394-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 E LA CROSSE AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190502002",
            "telephone_number": "610-394-2130",
            "fax_number": "610-394-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "ANOOB",
        "middle_name": "DANIEL",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-28",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP029374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael L Pollard DC PC
• Damian Cosmas Milillo, D.M.D.
• Mind Matters Health Solutions LLC
• Miracle Makers Homes and Services Inc
• Deddeh Miun
• Monica Helen Clay (Lawrence's Garden)
• Michael Mooreville, M.D.
• Linda Rae Moreland, MSN, APRN, BC
• Nakiyah E Mosely-Culler
• MP Capital Partners LLC (Lansdowne Pharmacy)

• Family Nurse Practitioner in Lansdowne, PA
• Providers in Lansdowne, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2024; 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.