NPIMap

Individual provider Active NPI

Jessy Palathinkal, AGNP

  • Gerontology Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1851945935
Registry record updated Jul 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP020393 Issued in PA
Practice address
7515 Stenton Ave
Philadelphia, PA 19150-3710
Phone
(267) 335-5264
NPI assigned
Jul 28, 2019
Last updated
Jul 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X SP020393 PA Primary

Addresses

Primary practice location

7515 Stenton Ave
Philadelphia, PA 19150-3710

Mailing address

52 Nelson Dr
Southampton, PA 18966-1541
Phone (267) 934-6624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191022002278 PA Practitioner - Nurse Practitioner 9234461328 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
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

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lofts Medical Associates,PC CurrentSince Jul 1, 2022 Accepting new patients
Excel Medical Center CurrentSince Aug 31, 2019 Accepting new patients

Locations

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

703 Cecil B Moore Ave
Philadelphia, PA 19122
Phone (215) 725-4343

7515 Stenton Ave
Philadelphia, PA 19150
Phone (215) 842-5246

208 W Chelten Ave
Philadelphia, PA 19144
Phone (215) 849-3104

Interoperability endpoints

  • Direct secure messaging: jessy.palathinkal.1@25233.direct.athenahealth.com
  • Direct secure messaging: jessy.palathinkal.p2@direct.alegiscare.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/25233/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1564272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564272000000",
    "number": "1851945935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 NELSON DR",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189661541",
            "telephone_number": "267-934-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 STENTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191503710",
            "telephone_number": "267-335-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALATHINKAL",
        "first_name": "JESSY",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-28",
        "last_updated": "2019-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP020393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.