Individual provider Active NPI

Hephziba Saji, CRNP

  • Gerontology Nurse Practitioner
  • Doylestown, PA
National Provider Identifier
1891440715
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP025417 Issued in PA
Practice address
595 W State St
Doylestown, PA 18901-2554
Phone
(215) 345-2885
Fax
(215) 345-2552
NPI assigned
Feb 18, 2022
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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 SP025417 PA Primary

Addresses

Primary practice location

595 W State St
Doylestown, PA 18901-2554

Mailing address

PO Box 829641
Philadelphia, PA 19182-9641
Phone (267) 370-5285

Other practice location 1

3485 Davisville Rd
Hatboro, PA 19040-4220
Phone (800) 427-1902

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
I20220601000074 PA Practitioner - Nurse Practitioner 4082092226 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Via Affiliates Current Accepting new patients
HCR Manorcare Medical Services of Florida LLC CurrentSince Mar 21, 2022 Accepting new patients
Via Affiliates CurrentSince Jan 1, 2024 Accepting new patients
Via Affiliates CurrentSince Jan 1, 2024 Accepting new patients

Locations

L2540
Columbus, OH 43260

333 N Summit St
Fl 15
Toledo, OH 43604
Phone (419) 252-5530

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

3485 Davisville Rd
Hatboro, PA 19040
Phone (215) 830-0400

3430 Huntingdon Pike
Huntingdon Vy, PA 19006
Phone (215) 938-7171

Organizations & group practices 5

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": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1891440715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829641",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191829641",
            "telephone_number": "267-370-5285",
            "fax_number": "215-230-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W STATE ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012554",
            "telephone_number": "215-345-2885",
            "fax_number": "215-345-2552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3485 Davisville Rd",
            "address_purpose": "LOCATION",
            "city": "Hatboro",
            "state": "PA",
            "postal_code": "190404220",
            "country_code": "US",
            "telephone_number": "800-427-1902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAJI",
        "first_name": "HEPHZIBA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-18",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP025417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.