NPIMap

Organization Active NPI

Swing Care Provider Group, PC

  • Multi-Specialty Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1982417754
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SWING CARE PROVIDER GROUP, PC
Practice address
123 S Broad St Ofc 156015TH
Philadelphia, PA 19109-1029
Phone
(262) 667-7326
Fax
(877) 349-1868
NPI assigned
Jan 27, 2025
Last updated
Dec 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Authorized official

Name
Jeremy Frank
Title
Head of Operations
Phone
(415) 602-0855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

123 S Broad St Ofc 156015TH
Philadelphia, PA 19109-1029

Mailing address

440 N Barranca Ave # 1801
Covina, CA 91723-1722
Phone (877) 349-1868

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240610000334 PA Part B Supplier - Clinic/Group Practice 0244601904 Receives reassigned benefits from 16 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: State College, PA; Pittsburgh, PA; Philadelphia, PA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Swing Care Provider Group - Fibromyalgia13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4625 Lindell Blvd
Ste 2685
Saint Louis, MO 63108

123 S Broad St
Ofc 156015TH
Philadelphia, PA 19109

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1982417754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N BARRANCA AVE # 1801",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231722",
            "telephone_number": "877-349-1868",
            "fax_number": "877-349-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S BROAD ST OFC 156015TH",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191091029",
            "telephone_number": "262-667-7326",
            "fax_number": "877-349-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWING CARE PROVIDER GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "HEAD OF OPERATIONS",
        "authorized_official_telephone_number": "415-602-0855"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.