Active NPI
Lissette Ramirez, PA-C
- Medical Physician Assistant
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA056797
- Practice address
- 841 E Hunting Park Ave FL 2
Philadelphia, PA 19124-4800 - Phone
- (215) 537-7695
- Fax
- (267) 686-4071
- NPI assigned
- Apr 23, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA056797 | PA | Primary |
Addresses
Primary practice location
841 E Hunting Park Ave FL 2
Philadelphia, PA 19124-4800
Mailing address
1412-22 Fairmount Avenue
Philadelphia, PA 19130-2908
Phone (215) 684-5344
Other practice location 1
2340 E Allegheny Ave
Philadelphia, PA 19134-4433
Phone (215) 423-6670
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lissette.ramirez.p1@direct.dvch.nextgenshare.com | Health Information Exchange (HIE) |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA056797 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware Valley Community Health, Inc. | Current | Accepting new patients | |
| Delaware Valley Community Health, Inc. | Current | Accepting new patients | |
| Temple Physicians Inc | Current | Accepting new patients | |
| Temple Physician Inc. | Current | Accepting new patients |
Locations
515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120
2340 E Allegheny Ave
Philadelphia, PA 19134
Phone (215) 423-6670
841 E Hunting Park Ave
Fl 2
Philadelphia, PA 19124
Phone (215) 537-7695
1412 Fairmount Ave
Philadelphia, PA 19130
Phone (215) 235-9600
Interoperability endpoints
- lissette.ramirez.p1@direct.dvch.nextgenshare.com
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1386864502
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1942444088
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1235956921
-
- Internal Medicine Physician
- Feasterville Trevose, PA
- NPI 1174497366
-
- Family Medicine Physician
- Flourtown, PA
- NPI 1952642936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1780004150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412-22 FAIRMOUNT AVENUE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191302908",
"telephone_number": "215-684-5344",
"fax_number": "215-232-4093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 E HUNTING PARK AVE FL 2",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191244800",
"telephone_number": "215-537-7695",
"fax_number": "267-686-4071"
}
],
"practiceLocations": [
{
"address_1": "2340 E Allegheny Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191344433",
"country_code": "US",
"telephone_number": "215-423-6670",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAMIREZ",
"first_name": "LISSETTE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-23",
"last_updated": "2021-09-21",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA056797",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lissette.ramirez.p1@direct.dvch.nextgenshare.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "841 E Hunting Park Ave Fl 2",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191244800",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.