Zobaku Acholonu, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA065019 Issued in PA

Practice address

50 Monument Rd Ste 301
Bala Cynwyd, PA 19004-1716

Phone

(215) 666-7340

NPI assigned

Dec 13, 2023

Last updated

Sep 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Temple University School of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pennsylvania Centre for Dermatology, LLCGroup PAC ID 4183603335, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Pennsylvania Centre for Dermatology, LLC

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1861501801
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1922876531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N 41ST ST APT 4",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045763",
            "telephone_number": "775-813-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MONUMENT RD STE 301",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041716",
            "telephone_number": "215-666-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHOLONU",
        "first_name": "ZOBAKU",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA065019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• ABA Centers of Pennsylvania LLC (ABA Centers of Pennsylvania)
• Pamela Pressley Abraham, PSY.D.
• John L. Abruzzo, M.D.
• Yara Abu Hussein, MA
• Abundant Life Family Services
• Acme Markets Inc (Acme Pharmacy #3711)
• Julie Adams, RD
• Ann Buckler Addis, M.A., CCC-SLP
• Miriam Adler, SLP
• Advocare , LLC (Advocare PHA Pediatrics)

• Physician Assistant in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.