Individual provider Active NPI

Casey McGrath, PA-C

  • Medical Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1821632324
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
OA005073 Issued in PA
Practice address
3402 F St
Philadelphia, PA 19134-1225
Phone
(215) 634-5481
NPI assigned
Oct 29, 2019
Last updated
Oct 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X OA005073 PA Primary

Addresses

Primary practice location

3402 F St
Philadelphia, PA 19134-1225

Mailing address

468 Roslyn Ave
Glenside, PA 19038-3623
Phone (215) 285-4904

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230705000998 PA Order and Referring Only - Family PracticePractitioner - Family Practice 2668831934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OA005073PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan B. Levyn, D.O. PC Single Specialty CurrentSince Nov 3, 2019 Accepting new patients
Jonathan B Levyn, DO-PC Single Specialty CurrentSince Nov 3, 2019 Accepting new patients

Locations

3402 F St
Philadelphia, PA 19134
Phone (215) 634-5481

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1821632324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 ROSLYN AVE",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190383623",
            "telephone_number": "215-285-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 F ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341225",
            "telephone_number": "215-634-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRATH",
        "first_name": "CASEY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA005073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.