Organization Active NPI

Statum Health

  • Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1992230981
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
STATUM HEALTH
Practice address
801 Market St
Philadelphia, PA 19107-3126
Phone
(717) 443-1407
NPI assigned
Apr 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Authorized official

Name
Monik Keshor Sheth
Title
Founder/Ceo
Phone
(717) 443-1407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

801 Market St
Philadelphia, PA 19107-3126

Mailing address

2119 E Norris St
Philadelphia, PA 19125-1924
Phone (717) 443-1407

National Provider Directory

National Provider Directory

Locations

801 Market St
Philadelphia, PA 19107
Phone (215) 413-3100

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": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1992230981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 E NORRIS ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191251924",
            "telephone_number": "717-443-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MARKET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191073126",
            "telephone_number": "717-443-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATUM HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "SHETH",
        "authorized_official_first_name": "MONIK",
        "authorized_official_middle_name": "KESHOR",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "717-443-1407"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "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 Apr 27, 2017; 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.