Individual provider Active NPI

Emily L Williams, NP

  • Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1710695796
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP026509 Issued in PA
Practice address
2900 Island Ave
Philadelphia, PA 19153-2028
Phone
(267) 597-3600
NPI assigned
Nov 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ14901400 NJ
Nurse Practitioner 363L00000X SP026509 PA Primary

Addresses

Primary practice location

2900 Island Ave
Philadelphia, PA 19153-2028

Mailing address

1815 John F Kennedy Blvd Apt 822
Philadelphia, PA 19103-1707
Phone (856) 404-0203

Other practice location 1

1815 John F Kennedy Blvd Apt 822
Philadelphia, PA 19103-1707
Phone (856) 404-0203

Other practice location 2

3131 Route 38
Mount Laurel, NJ 08054-9757
Phone (856) 866-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230419001694 PA Practitioner - Nurse Practitioner 5496120776 Reassigns benefits to 2 organizations
I20240122000124 NJ Practitioner - Nurse Practitioner 5496120776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Jefferson Medical College of Thomas Jefferson University, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2130 Spring Garden St
Philadelphia, PA 19130-3502
Phone (215) 955-9555

2301 S Broad St
Philadelphia, PA 19148-3542

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP026509PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Dec 5, 2023 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Nov 1, 2024 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Nov 1, 2024 Accepting new patients
Pennsylvania Urgent Care Centers, PLLC CurrentSince Feb 1, 2023 Accepting new patients
Atlanticare Physician Group PA Current Accepting new patients
Atlanticare Physician Group CurrentSince Dec 5, 2023 Accepting new patients
Family Practice & Counseling Services Network, Inc. Past Accepting new patients
Jefferson University Physicians Past Accepting new patients
Atlanticare Urgent Care Physicians LLC Past Accepting new patients

Locations

2500 English Creek Ave
Ste 909
Egg Harbor Twp, NJ 08234
Phone (609) 407-2380

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

3131 Route 38
Mount Laurel, NJ 08054
Phone (856) 208-7159

780 N Krocks Rd
Ste 101B
Allentown, PA 18106
Phone (610) 365-3354

5024 Pennell Rd
Aston, PA 19014
Phone (484) 456-1257

150 E Pennsylvania Ave
Ste 140
Downingtown, PA 19335
Phone (610) 518-1060

2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175

2130 Spring Garden St
Fl 1
Philadelphia, PA 19130
Phone (215) 955-9555

1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1710695796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 JOHN F KENNEDY BLVD APT 822",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031707",
            "telephone_number": "856-404-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 ISLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191532028",
            "telephone_number": "267-597-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 John F Kennedy Blvd Apt 822",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191031707",
            "country_code": "US",
            "telephone_number": "856-404-0203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3131 Route 38",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "080549757",
            "country_code": "US",
            "telephone_number": "856-866-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "EMILY",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ14901400",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP026509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.