Individual provider Active NPI

Nataliia Dodge

  • Family Nurse Practitioner
  • East Norriton, PA
National Provider Identifier
1881364974
Registry record updated Jan 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06210810 Issued in PA
Practice address
2500 Dekalb Pike Ste 300
East Norriton, PA 19401-2007
Phone
(484) 965-9566
NPI assigned
Sep 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F06210810 PA Primary

Addresses

Primary practice location

2500 Dekalb Pike Ste 300
East Norriton, PA 19401-2007

Mailing address

2500 Dekalb Pike Ste 300
East Norriton, PA 19401-2007
Phone (484) 965-9566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211220000915 PA Practitioner - Nurse Practitioner 2961893383 Reassigns benefits to 3 organizations
I20231222000640 NJ Practitioner - Nurse Practitioner 2961893383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inhospital Physicians CorpGroup PAC ID 3779888110, 24 clinicians

Practice addresses (Care Compare)

2701 Dekalb Pike
East Norriton, PA 19401-1820
Phone (484) 965-9566

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06210810PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Physician Inc. CurrentSince Jan 5, 2022 Accepting new patients
Inhospital Physicians Corp CurrentSince Jan 27, 2022 Accepting new patients
Temple Physicians Inc Current Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Jan 5, 2022 Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Jan 5, 2022 Accepting new patients
Temple Physicians Inc CurrentSince Jan 5, 2022 Accepting new patients

Locations

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

610 Sentry Pkwy
Bldg 660
Blue Bell, PA 19422

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

2701 DeKalb Pike
Norristown, PA 19401
Phone (215) 335-6000

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

100 E Lehigh Ave
Philadelphia, PA 19125
Phone (215) 707-1200

7800 Bustleton Ave
Philadelphia, PA 19152
Phone (215) 722-2300

7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642204800000",
    "number": "1881364974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 DEKALB PIKE STE 300",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194012007",
            "telephone_number": "484-965-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 DEKALB PIKE STE 300",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194012007",
            "telephone_number": "484-965-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE",
        "first_name": "NATALIIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2022-01-15",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "F06210810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Norriton, PA

Sources for this page

Verify at the official NPI Registry.