JOSE DELEON DELEON (NPI# 1225690373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225690373 |
| Entity Type | Individual |
| Full Name | JOSE DELEON DELEON |
| Practice Address |
1200 Callowhill St Philadelphia PA 19123-3658 |
| Mailing Address |
1200 Callowhill St. Care Clinic Health Center Philadelphia PA 19123 |
| Practice Telephone | 2158258220 |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2019-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750322392 | Jose V Deleon | Surgery | 104 Princeton Lane, Glenview, IL 60026-5950 | 2006-06-08 |
| 1508865320 | Jose L. Deleon | Podiatrist | 629 W 185th St, 3rd Floor, New York, NY 10033-3102 | 2005-07-14 |
| 1033366836 | Jose Deleon | Specialist/Technologist, Other | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2008-08-22 |
| 1922181692 | Jose A Deleon | Psychiatry & Neurology | 3470 Blazer Pkwy, Lexington, KY 40509-1200 | 2006-10-24 |
| 1275639866 | Jose C Deleon | Internal Medicine | 1520 Liliha St, 203, Honolulu, HI 96817-3562 | 2006-09-15 |
| Street Address |
1200 CALLOWHILL ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19123-3658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003842188 | Joan E La Joie | Nurse Practitioner | 1200 Callowhill St, Suite 101, Philadelphia, PA 19123-3658 | 2006-06-23 |
| 1720687049 | Kareema Nunley | Counselor | 1200 Callowhill St, Philadelphia, PA 19123-3658 | 2020-10-19 |
| 1467066977 | Public Health Managment Corporation | Clinic/Center | 1200 Callowhill St, Philadelphia, PA 19123-3658 | 2020-09-02 |
| 1831720838 | Lan Ngoc Le Nguyen | Dental Hygienist | 1200 Callowhill St, Philadelphia, PA 19123-3658 | 2020-01-28 |
| 1922659309 | Mary Kremer | Counselor | 1200 Callowhill St, Philadelphia, PA 19123-3658 | 2019-09-26 |
| 1689236739 | Jason Williams | Peer Specialist | 1200 Callowhill St, Philadelphia, PA 19123-3658 | 2019-06-28 |
| 1023670171 | Virginia Vitella | Peer Specialist | 1200 Callowhill St, Philadelphia, PA 19123-3658 | 2019-06-28 |
| 1225595168 | Paul Burkhart | Counselor | 1200 Callowhill St, Philadelphia, PA 19123-3658 | 2019-02-27 |
| 1659836757 | Adam Fussaro | Counselor | 1200 Callowhill St, Philadelphia, PA 19123-3658 | 2019-02-04 |
| 1376909713 | Tanajsia Mason | Case Manager/Care Coordinator | 1200 Callowhill St, Suite 101, Philadelphia, PA 19123-3658 | 2016-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301842 | Regina Ann Griffin | Massage Therapist | 721 West Brown Street, Apt 1r, Philadelphia, PA 19123 | 2020-09-16 |
| 1811453558 | Terence Jones | Counselor | 1200 Callowhill St., Suite 101, Philadelphia, PA 19123 | 2019-02-19 |
| 1750874517 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 456 N 5th St, Philadelphia, PA 19123 | 2018-06-07 |
| 1649761677 | Dawn Webster | Acupuncturist | 466 N 10th St, Philadelphia, PA 19123 | 2018-05-25 |
| 1629566237 | Tri-county Home Health Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 443-45 W. Girard Ave, Ste 2b, Philadelphia, PA 19123 | 2018-04-30 |
| 1508389214 | Greater Delaware Valley Society of Transplant Surgeons | Organ Procurement Organization | 401 N. 3rd Street, Philadelphia, PA 19123 | 2017-07-25 |
| 1770987588 | Eugene Borys | Social Worker | 1217 Spring Garden Street, 1st Fl, Bebashi Transition To Hope, Philadelphia, PA 19123 | 2014-10-22 |
| 1134521255 | 9th & Girard Pharmacy Inc | Pharmacy | 901 W Girard Ave, #105, Philadelphia, PA 19123 | 2014-09-19 |
| 1508271925 | Waleska Santiago, PC | Internal Medicine | 1 Brown Street Unit 1414, Philadelphia, PA 19123 | 2014-06-24 |
| 1366865537 | Keli Hunter | Chiropractor | 683 N. Broad Street, Philadelphia, PA 19123 | 2014-01-24 |
| Find all providers in zip 19123 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545379 | Antoine Johnson | Peer Specialist | 846 N 63rd St, Philadelphia, PA 19151-3443 | 2020-10-13 |
| 1336783943 | Jessica Elease Elam | Peer Specialist | 5450 Wissahickon Ave Apt B1139, Philadelphia, PA 19144-5285 | 2019-11-06 |
| 1932562790 | Maurice Peay | Peer Specialist | 2243 Simon St, Philadelphia, PA 19137-1311 | 2016-03-30 |
| 1689236739 | Jason Williams | Peer Specialist | 1200 Callowhill St, Philadelphia, PA 19123-3658 | 2019-06-28 |
| 1023670171 | Virginia Vitella | Peer Specialist | 1200 Callowhill St, Philadelphia, PA 19123-3658 | 2019-06-28 |
| 1134640014 | Sherrie Crane | Peer Specialist | 112 N Broad St, Philadelphia, PA 19102-1512 | 2017-06-30 |
| 1851832000 | Warren Shuler | Peer Specialist | 112 N Broad St, Philadelphia, PA 19102-1512 | 2017-03-20 |
| 1639610884 | Jennifer Desmond | Peer Specialist | 112 N Broad St, Philadelphia, PA 19102-1512 | 2017-03-20 |
| 1295276434 | James Gaither | Peer Specialist | 112 N Broad St, Philadelphia, PA 19102-1512 | 2017-03-20 |
| 1194266346 | Lolita Rogers | Peer Specialist | 112 N Broad St, Philadelphia, PA 19102-1512 | 2017-03-20 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19123 |
Please comment or provide details below to improve the information on JOSE DELEON DELEON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.