Health Care at Northeast Philadelphia LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HEALTH CARE AT NORTHEAST PHILADELPHIA LLC

Practice address

3353 Cottman Avenue
Philadelphia, PA 19149-1603

Phone

(215) 332-4410

Fax

(215) 332-6255

NPI assigned

Aug 1, 2019

Organization subpart

No

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

Authorized official

Name

Daniel Yanfeng Lin, MD, PHDNPI 1073781621

Title

Chairman

Phone

(814) 381-5881

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Yanfeng Lin, MD, PHD

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1073781621
  Medicare reassignment NPD Authorized official
• Qin Xin Zheng

  • Family Nurse Practitioner
  • Philadelphia, PA
  • NPI 1982321568
  Medicare reassignment NPD
• Jing Liang, CRNP

  • Family Nurse Practitioner
  • Philadelphia, PA
  • NPI 1831931864
  NPD (past)
• Alexander K Yeh, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1508897075
  NPD (past)
• Diana Fok, NP

  • Family Nurse Practitioner
  • Woodland, CA
  • NPI 1558166165
  NPD (past)

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1770137218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3353 COTTMAN AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491603",
            "telephone_number": "205-332-4410",
            "fax_number": "215-332-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3353 COTTMAN AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491603",
            "telephone_number": "215-332-4410",
            "fax_number": "215-332-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE AT NORTHEAST PHILADELPHIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-01",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "YANFENG",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "814-381-5881",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.