Individual provider Active NPI

Joby Reji, CRNP

  • Adult Health Nurse Practitioner
  • Richboro, PA
National Provider Identifier
1831774918
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP023358 Issued in PA
Practice address
138 W Georgianna Dr
Richboro, PA 18954-1312
Phone
(215) 900-8620
NPI assigned
Mar 10, 2021
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP023358 PA Primary

Addresses

Primary practice location

138 W Georgianna Dr
Richboro, PA 18954-1312

Mailing address

138 W Georgianna Dr
Richboro, PA 18954-1312
Phone (215) 900-8620

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
I20210609000368 PA Practitioner - Nurse Practitioner 6103226469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lofts Medical Associates,PCGroup PAC ID 9638248214, 12 clinicians

Practice addresses (Care Compare)

170 Middletown Blvd
Suite 101
Langhorne, PA 19047-3200
Phone (215) 757-8100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lofts Medical Associates,PC CurrentSince May 3, 2021 Accepting new patients

Locations

170 Middletown Blvd
Ste 101
Langhorne, PA 19047
Phone (215) 757-8100

Organizations & group practices 1

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": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1831774918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 W GEORGIANNA DR",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541312",
            "telephone_number": "215-900-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 W GEORGIANNA DR",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541312",
            "telephone_number": "215-900-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REJI",
        "first_name": "JOBY",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP023358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richboro, PA

Sources for this page

Verify at the official NPI Registry.