Individual provider Active NPI

Paul Eugene McDuffy, FNP

  • Family Nurse Practitioner
  • Prospect Park, PA
National Provider Identifier
1891516191
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP030996 Issued in PA
Practice address
1009 Pennsylvania Ave
Prospect Park, PA 19076-1319
Phone
(215) 787-7777
NPI assigned
Oct 18, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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 SP030996 PA Primary

Addresses

Primary practice location

1009 Pennsylvania Ave
Prospect Park, PA 19076-1319

Mailing address

1009 Pennsylvania Ave
Prospect Park, PA 19076-1319
Phone (215) 787-7777

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
I20241213003664 PA Practitioner - Nurse Practitioner 9335675230 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Rite Med Group of PA PLLCGroup PAC ID 1254703671, 9 clinicians

Practice addresses (Care Compare)

432 Maple Ave
Doylestown, PA 18901-4414
Phone (215) 345-1452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Philadelphia Health Action Inc. Current Accepting new patients
Greater Philadelphia Health Action Inc. CurrentSince Dec 1, 2024 Accepting new patients
Greater Philadelphia Health Action, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Greater Philadelphia Health Action Inc. Past Accepting new patients

Locations

1999 W Hunting Park Ave
Philadelphia, PA 19140
Phone (215) 228-9300

432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000

4510 Frankford Ave
Philadelphia, PA 19124
Phone (215) 744-1302

5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700

Interoperability endpoints

  • Direct secure messaging: paul.mcduffyfnp.p1@direct.gpha.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1891516191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 PENNSYLVANIA AVE",
            "city": "PROSPECT PARK",
            "state": "PA",
            "postal_code": "190761319",
            "telephone_number": "215-787-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 PENNSYLVANIA AVE",
            "city": "PROSPECT PARK",
            "state": "PA",
            "postal_code": "190761319",
            "telephone_number": "215-787-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDUFFY",
        "first_name": "PAUL",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP030996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect Park, PA

Sources for this page

Verify at the official NPI Registry.