Individual provider Active NPI

Lorna L Okletey, PA-C, MPH

  • Medical Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1871068684
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA060198 Issued in PA
Practice address
4190 City Ave Ste 528
Philadelphia, PA 19131-1635
Phone
(949) 366-1053
NPI assigned
Oct 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA060198 PA
Medical Physician Assistant 363AM0700X MA060198 PA Primary

Addresses

Primary practice location

4190 City Ave Ste 528
Philadelphia, PA 19131-1635

Mailing address

418 Elm Ave
Croydon, PA 19021-6908
Phone (240) 481-5038

Other practice location 1

1412 Fairmount Ave
Philadelphia, PA 19130-2908
Phone (215) 235-9600

Other practice location 2

178 W Street Rd
Feasterville Trevose, PA 19053-7817
Phone (215) 710-6490

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
I20190703002974 PA Practitioner - Physician Assistant 2567797079 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA060198PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Valley Community Health, Inc. CurrentSince May 13, 2019 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Mar 7, 2021 Accepting new patients
Aria Health Physician Services CurrentSince Aug 20, 2025 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Mar 7, 2021 Accepting new patients
Delaware Valley Community Health, Inc. CurrentSince May 13, 2019 Accepting new patients
Aria Health Physician Services Physician Assistant CurrentSince Aug 20, 2025 Accepting new patients
Housecall Doctors Medical Group Inc PastSince Oct 9, 2022 Accepting new patients
Aria Health Physician Services Past Accepting new patients

Locations

380 N Oxford Valley Rd
Langhorne, PA 19047
Phone (215) 949-5000

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060

1412 Fairmount Ave
Philadelphia, PA 19130
Phone (215) 235-9600

10800 Knights Rd
Philadelphia, PA 19114
Phone (215) 612-2610

4900 Frankford Ave
Philadelphia, PA 19124
Phone (215) 612-2610

1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836

178 W Street Rd
Trevose, PA 19053
Phone (215) 322-5042

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1871068684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 ELM AVE",
            "city": "CROYDON",
            "state": "PA",
            "postal_code": "190216908",
            "telephone_number": "240-481-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 CITY AVE STE 528",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311635",
            "telephone_number": "949-366-1053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1412 Fairmount Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191302908",
            "country_code": "US",
            "telephone_number": "215-235-9600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "178 W Street Rd",
            "address_purpose": "LOCATION",
            "city": "Feasterville Trevose",
            "state": "PA",
            "postal_code": "190537817",
            "country_code": "US",
            "telephone_number": "215-710-6490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKLETEY",
        "first_name": "LORNA",
        "middle_name": "L",
        "credential": "PA-C, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA060198",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA060198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.