NPIMap

Organization Active NPI

Uscg Sector Delaware Bay

  • Military Health Care Provider
  • Philadelphia, PA
National Provider Identifier
1740307099
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military Health Care ProviderTaxonomy code 171000000X
Legal business name
USCG SECTOR DELAWARE BAY
Practice address
1 Washington Ave
Philadelphia, PA 19147-4335
Phone
(215) 271-4816
Fax
(215) 271-4817
NPI assigned
Mar 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jivonne Nikell Prioleau-GreenNPI 1063547966
Title
Health Service Technician
Phone
(215) 271-4816

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 171000000X Primary

Addresses

Primary practice location

1 Washington Ave
Philadelphia, PA 19147-4335

Mailing address

1 Washington Ave
Philadelphia, PA 19147-4335
Phone (215) 271-4816

National Provider Directory

National Provider Directory
Tax ID family
US Coast Guard65 organizations share this tax ID, including this one

Practitioners & affiliated clinicians

Practitioners 5

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": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740307099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191474335",
            "telephone_number": "215-271-4816",
            "fax_number": "215-271-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191474335",
            "telephone_number": "215-271-4816",
            "fax_number": "215-271-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USCG SECTOR DELAWARE BAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRIOLEAU-GREEN",
        "authorized_official_first_name": "JIVONNE",
        "authorized_official_middle_name": "NIKELL",
        "authorized_official_title_or_position": "HEALTH SERVICE TECHNICIAN",
        "authorized_official_telephone_number": "215-271-4816"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.