Individual provider Active NPI

Joel S. Tumberello, C.R.N.P.

  • Gerontology Nurse Practitioner
  • Crum Lynne, PA
National Provider Identifier
1992752042
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
TP003619C Issued in PA
Practice address
1553 Chester Pike
Suite 201
Crum Lynne, PA 19022-1022
Phone
(610) 499-7180
Fax
(610) 876-0859
NPI assigned
May 27, 2006
Last updated
Nov 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X TP003619C PA Primary
Registered Nurse 163W00000X TP003619 PA

Addresses

Primary practice location

1553 Chester Pike
Suite 201
Crum Lynne, PA 19022-1022

Mailing address

5666 Clymer Road
Quakertown, PA 18951-3264
Phone (215) 538-3488

Other practice location 1

5666 Clymer Road
Quakertown, PA 18951-3264
Phone (215) 538-3488

Other practice location 2

361 S 11th Street
Quakertown, PA 18951-1409
Phone (215) 538-3488

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090706000621 PA Practitioner - Nurse Practitioner 3779634639 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bucks Rehabilitation LLCGroup PAC ID 8325403041, 24 clinicians

Practice addresses (Care Compare)

5666 Clymer Rd
Quakertown, PA 18951-3264
Phone (267) 994-0680

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
TP003619PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bucks Rehabilitation LLC CurrentSince Apr 1, 2023 Accepting new patients
Temple Physician Inc. CurrentSince Aug 1, 2018 Accepting new patients
Success Rehabilitation, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Temple Physicians Inc. CurrentSince Aug 1, 2018 Accepting new patients
Advocare, LLC CurrentSince Oct 2, 2023 Accepting new patients
Advocare , LLC CurrentSince Oct 2, 2023 Accepting new patients
Temple Physicians Inc Current Accepting new patients
Temple Physicians Inc. Registered Nurse Past Accepting new patients

Locations

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

4321 Easton Ave
Bethlehem, PA 18020
Phone (215) 538-3488

1100 Horizon Cir
Ste 101
Chalfont, PA 18914
Phone (215) 394-0400

161 N Main St
Ste 14B
Dublin, PA 18917
Phone (215) 538-3488

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

6500 Tabor Rd
Bldg 2ND
Philadelphia, PA 19111
Phone (215) 697-8500

7500 Central Ave
Ste 104
Philadelphia, PA 19111
Phone (215) 742-0712

361 S 11th St
Quakertown, PA 18951
Phone (215) 538-3488

5666 Clymer Rd
Quakertown, PA 18951
Phone (215) 538-3488

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1992752042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5666 CLYMER ROAD",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189513264",
            "telephone_number": "215-538-3488",
            "fax_number": "215-538-8692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 CHESTER PIKE",
            "address_2": "SUITE 201",
            "city": "CRUM LYNNE",
            "state": "PA",
            "postal_code": "190221022",
            "telephone_number": "610-499-7180",
            "fax_number": "610-876-0859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5666 Clymer Road",
            "address_purpose": "LOCATION",
            "city": "Quakertown",
            "state": "PA",
            "postal_code": "189513264",
            "country_code": "US",
            "telephone_number": "215-538-3488",
            "fax_number": "215-538-8692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "361 S 11th Street",
            "address_purpose": "LOCATION",
            "city": "Quakertown",
            "state": "PA",
            "postal_code": "189511409",
            "country_code": "US",
            "telephone_number": "215-538-3488",
            "fax_number": "215-538-8692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUMBERELLO",
        "first_name": "JOEL",
        "middle_name": "S.",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "TP003619C",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "TP003619",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crum Lynne, PA

Sources for this page

Verify at the official NPI Registry.