Organization Active NPI

Newcourtland Life

  • Health Maintenance Organization
  • Philadelphia, PA
National Provider Identifier
1811246762
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
SW125047 Issued in PA
Legal business name
NEWCOURTLAND LIFE
Practice address
6950 Germantown Avenue
Philadelphia, PA 19119
Phone
(215) 951-4416
Fax
(215) 848-2627
NPI assigned
Sep 6, 2012
Last updated
Sep 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Authorized official

Name
Mrs. Jill E Kleppinger, LSW
Title
Social Worker
Phone
(610) 608-2463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X SW125047 PA Primary

Addresses

Primary practice location

6950 Germantown Avenue
Philadelphia, PA 19119

Mailing address

516 Canterbury Road
Jeffersonville, PA 19403
Phone (610) 608-2463

National Provider Directory

National Provider Directory
Tax ID family
Innovage Pennsylvania Life LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1811246762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 CANTERBURY ROAD",
            "city": "JEFFERSONVILLE",
            "state": "PA",
            "postal_code": "19403",
            "telephone_number": "610-608-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 GERMANTOWN AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19119",
            "telephone_number": "215-951-4416",
            "fax_number": "215-848-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWCOURTLAND LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "KLEPPINGER",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "610-608-2463",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PA",
            "license": "SW125047",
            "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 Sep 6, 2012; 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.