Phuong C Voong
Individual provider Active NPI Family Nurse Practitioner · Philadelphia, PA
NPI 1740938414 · NPPES record last updated Nov 14, 2022
Key facts
- NPI
- 1740938414
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- SP025132 (PA)
- Practice address
- 3229 Kensington Ave
Philadelphia, PA 19134-1934 - Phone
- (215) 454-6016
- Fax
- (215) 309-3533
- NPI assigned
- Mar 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eastern Pennsylvania Physician Alliance, LLC
Rd Medical Professional Services PC
Practice addresses (Care Compare)
7170 Lafayette Ave
Fort Washington, PA 19034-2301
Phone (215) 641-5300
9501 State Rd
Philadelphia, PA 19114-3053
Phone (914) 295-9323
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231215000098 | PA | Practitioner - Nurse Practitioner | 7315396330 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP025132 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Global Health and Recovery Services LLC | Single Specialty | Current |
Accepting new patients |
| Hammad Raza PC | Single Specialty | Current |
Accepting new patients |
| Rd Medical Professional Services PC | Single Specialty | Current |
Accepting new patients |
| Merakey Parkside Recovery | Single Specialty | Current |
Accepting new patients |
Locations
1020 Oak Ln
Philadelphia, PA 19126
Phone (215) 224-9898
1930 S Broad St
Philadelphia, PA 19145
Phone (215) 339-4563
6129 Palmetto St
Philadelphia, PA 19111
Phone (215) 722-8555
3229 Kensington Ave
Philadelphia, PA 19134
Phone (215) 454-6016
650 Edison Ave
Philadelphia, PA 19116
Phone (215) 673-5700
9501 State Rd
Philadelphia, PA 19114
Phone (215) 632-5700
Interoperability endpoints
- https://api.platform.athenahealth.com/24868/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | SP025132 | PA | Yes |
Addresses
Primary practice location
3229 Kensington Ave
Philadelphia, PA 19134-1934
Mailing address
3229 Kensington Ave
Philadelphia, PA 19134-1934
Phone (215) 518-6274
NPI Registry JSON
{
"created_epoch": "1647043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1740938414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3229 KENSINGTON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191341934",
"telephone_number": "215-518-6274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3229 KENSINGTON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191341934",
"telephone_number": "215-454-6016",
"fax_number": "215-309-3533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOONG",
"first_name": "PHUONG",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-12",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP025132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- Janine Andrea Vonlanthen
- Susan Vonnessen-Scanlin
- Vonnx
- Swetha Vontela
- Frank Christian Vonzuben
- Kianna Voorhees
- Simon Voorhees
- Parag V Vora
- Sonya P Vora
- Sudhir Raju Vora
All providers in Philadelphia, PA · Family Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.