Individual provider Active NPI

Salvi Z Rota, CRNP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1750148789
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP029000 Issued in PA
Practice address
5363 Oxford Ave
Philadelphia, PA 19124-1123
Phone
(215) 288-0707
Fax
(215) 288-9360
NPI assigned
Mar 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP029000 PA Primary

Addresses

Primary practice location

5363 Oxford Ave
Philadelphia, PA 19124-1123

Mailing address

5363 Oxford Ave
Philadelphia, PA 19124-1123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240910001451 PA Practitioner - Nurse Practitioner 7416497078 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Physicians Group LLCGroup PAC ID 2769631621, 31 clinicians
Excel Medical CenterGroup PAC ID 7315132537, 20 clinicians

Practice addresses (Care Compare)

5363 Oxford Ave
Philadelphia, PA 19124-1123
Phone (215) 288-0707

7515 Stenton Ave
Philadelphia, PA 19150-3710
Phone (267) 335-5264

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP029000PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Physicians Group LLC CurrentSince Dec 7, 2025 Accepting new patients
Excel Medical Center CurrentSince Aug 19, 2024 Accepting new patients
G.O. Medical Associates PastSince Mar 11, 2025 Accepting new patients

Locations

7515 Stenton Ave
Philadelphia, PA 19150
Phone (215) 842-5246

208 W Chelten Ave
Philadelphia, PA 19144
Phone (215) 849-3104

1216 N Broad St
Philadelphia, PA 19121
Phone (215) 236-7530

5363 Oxford Ave
Philadelphia, PA 19124
Phone (215) 288-0707

339 E Street Rd
Trevose, PA 19053
Phone (215) 464-4111

Interoperability endpoints

  • Direct secure messaging: salvi.rota.1@25233.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/25233/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1750148789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5363 OXFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191241123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5363 OXFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191241123",
            "telephone_number": "215-288-0707",
            "fax_number": "215-288-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTA",
        "first_name": "SALVI",
        "middle_name": "Z",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP029000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.