Organization Active NPI

Erlinda Sabili MD PC

  • Psychiatry Physician
  • Media, PA
National Provider Identifier
1942408604
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ERLINDA SABILI MD PC
Practice address
1 Well Fleet Dr
Media, PA 19063-4324
Phone
(215) 439-8408
Fax
(610) 544-3639
NPI assigned
Jul 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Dr. Erlinda Asa Sabili, M.D.NPI 1902823628
Title
Ceo
Phone
(215) 439-8408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1 Well Fleet Dr
Media, PA 19063-4324

Mailing address

1 Well Fleet Dr
Media, PA 19063-4324
Phone (215) 439-8408

Other practice location 1

1 Well Fleet Dr
Media, PA 19063-4324
Phone (215) 439-8408

Other practice location 2

4641 E Roosevelt Blvd
Philadelphia, PA 19124-2343
Phone (215) 439-8408

Other identifiers 3

IdentifierTypeStateIssuer
1721961-01MedicaidPA
2003130000OtherPAMHS #
7525318OtherPAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070801000287 PA Part B Supplier - Clinic/Group Practice 5991896235 Receives reassigned benefits from 1 practitioner
Practice locations: Media, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1942408604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WELL FLEET DR",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190634324",
            "telephone_number": "215-439-8408",
            "fax_number": "610-544-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WELL FLEET DR",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190634324",
            "telephone_number": "215-439-8408",
            "fax_number": "610-544-3639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Well Fleet Dr",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190634324",
            "country_code": "US",
            "telephone_number": "215-439-8408",
            "fax_number": "610-544-3639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4641 E Roosevelt Blvd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191242343",
            "country_code": "US",
            "telephone_number": "215-439-8408",
            "fax_number": "610-544-3639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ERLINDA SABILI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-04",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "SABILI",
        "authorized_official_first_name": "ERLINDA",
        "authorized_official_middle_name": "ASA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-439-8408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1721961-01",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHS #",
            "identifier": "2003130000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7525318",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.