Nubridge Associates LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

032902 Issued in PA

Legal business name

NUBRIDGE ASSOCIATES LP

Practice address

959 E State St
Sharon, PA 16146-3331

Phone

(724) 981-2750

Fax

(724) 981-4703

NPI assigned

Jun 21, 2005

Last updated

Feb 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bradley Vansickles

Title

Administrator

Phone

(724) 981-2750

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1952306474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 E STATE ST",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161463331",
            "telephone_number": "724-981-2750",
            "fax_number": "724-981-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 E STATE ST",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161463331",
            "telephone_number": "724-981-2750",
            "fax_number": "724-981-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUBRIDGE ASSOCIATES LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "VANSICKLES",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "724-981-2750",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "032902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017855390001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "1363",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN PROVIDER",
            "identifier": "318270",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sue Ann Mulvey, RN
• My Urban Clinic, Inc (My Clinic)
• James Michael Myers
• Ranjani Natarajan, MD
• Joseph Paul Nemetz, RPH, CFMP
• Maria A O'Searo-Snyder, PHD.
• Nicole Marie Odem
• Odems Therapeutic Youth Services
• Mary Ann Palitti, DMD
• Dominique Palmer, LPN

• Skilled Nursing Facility in Sharon, PA
• Providers in Sharon, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.