REDICLINIC OF PA, LLC


Address: 7418-32 Oxford Avenue, Philadelphia, PA 19111-3023
Phone: 7133351742

REDICLINIC OF PA, LLC (NPI# 1407233125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407233125
Entity Type Organization
Organization Name REDICLINIC OF PA, LLC
Practice Address 7418-32 Oxford Avenue
Philadelphia
PA 19111-3023
Mailing Address 9 Greenway Plz
Ste. 2950
Houston
TX 77046-0905
Practice Telephone 7133351742
Practice Fax Number 7133584881
Mailing Telephone 7133351754
Enumeration Date 2015-05-01
Last Update Date 2015-05-01
Authorized Official Name DANIELLE BARRERA (CHIEF OPERATING OFFICER)
Authorized Official Telephone 7135809489
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1013543099 Rediclinic of Pa, LLC Clinic/Center 5707 Easton Rd, Pipersville, PA 18947-1823 2020-03-21
1487004503 Rediclinic of Pa, LLC Clinic/Center 27 N 7th St, Suite 100, Allentown, PA 18101-1357 2016-06-20
1326417825 Rediclinic of Pa, LLC Clinic/Center 41 S. West End Blvd, Quakertown, PA 18951-1189 2015-09-15
1568849198 Rediclinic of Pa, LLC Clinic/Center 800 Bustleton Pike Ste A10, Richboro, PA 18954-1360 2015-05-04
1689051336 Rediclinic of Pa, LLC Clinic/Center 1535 W Chester Pike, West Chester, PA 19382-7705 2015-05-01
1386021087 Rediclinic of Pa, LLC Clinic/Center 1035 County Line Rd., Southampton, PA 19006-1206 2015-05-01
1467854190 Rediclinic of Pa, LLC Clinic/Center 1860 Brownsville Road, Trevose, PA 19053-3502 2014-09-25
1528460201 Rediclinic of Pa, LLC Clinic/Center 950 East Baltimore Pike, Yeadon, PA 19050-2702 2014-09-24
1215387311 Rediclinic of Pa, LLC Clinic/Center 500 Chesterbrook Blvd, Suite B11, Chesterbrook, PA 19087-5603 2016-06-20
1063891075 Rediclinic of Pa, LLC Clinic/Center 2000 Hamilton St, Philadelphia, PA 19130-3814 2015-05-22

Office Location

Street Address 7418-32 OXFORD AVENUE
City PHILADELPHIA
State PA
Zip Code 19111-3023

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164036026 Grace Agency Incorporated Home Health 433 Longshore Ave, Philadelphia, PA 19111 2020-09-08
1124517750 Dana Christine Campetti Physician Assistant 700 Cottman Ave Ste 201, Philadelphia, PA 19111 2018-05-09
1235654286 Dorotea Mutabdzic Surgery Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 2017-08-11
1952841041 Personal Care Home C&g Point of Service 6176 Newtown Ave, Philadelphia, PA 19111 2017-03-08
1477006849 Fox Chase Cancer Center Clinic/Center 333 Cottman Ave., Philadelphia, PA 19111 2016-08-02
1578927521 Peter Whooley Student in an Organized Health Care Education/Training Program Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 2016-04-06
1043673783 Matthew Holzerman Physical Therapy Assistant 1148 Tabor Plz, Philadelphia, PA 19111 2016-03-31
1831563329 Aging With Care Inc Home Health 1614 Loney St, Philadelphia, PA 19111 2015-11-20
1043687551 Kenneth Marsaglia II Preventive Medicine 8414 Bridle Road, Philadelphia, PA 19111 2015-09-01
1700220514 Lorraine A Tauriello Counselor 716 Ripley St, Philadelphia, PA 19111 2013-04-23
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144820754 The Nava Center, Inc. Clinic/Center 1334 S 18th St, Philadelphia, PA 19146-4647 2020-11-01
1023620135 Neshoba County General Hospital-nursing Home Clinic/Center 406 Stribling St, Philadelphia, MS 39350-3344 2020-08-19
1043775711 New Vitae, Inc. Clinic/Center 27 S. 55th Street, Philadelphia, PA 19139-3247 2019-02-06
1184132219 Neshoba County General Hospital Clinic/Center 1002 Saint Francis Dr, Philadelphia, MS 39350-2030 2018-01-10
1699288142 Rogers Memorial Hospital Inc Clinic/Center 1 Winding Dr Ste 106, Philadelphia, PA 19131-2907 2017-11-07
1952753238 American Rehabilitation Counseling Center LLC Clinic/Center 8305-15 Ridge Ave, Philadelphia, PA 19128-1722 2016-07-11
1750736088 Mark Wilson Clinic/Center 5313 Ogden St, Philadelphia, PA 19139-1438 2016-04-23
1023485265 Greater Philadelphia Health Action Inc. Clinic/Center 1408 S. Broad St., 2nd Floor, Philadelphia, PA 19146-4808 2015-08-24
1912397118 Physical Corrective Solutions, LLC Clinic/Center 2644 Lefevre St Ste A, Suite A, Philadelphia, PA 19137-1733 2015-01-27
1083031496 Neuro Source Diagnostics, Inc Clinic/Center 9276 Jamison Ave, Unit A, Philadelphia, PA 19115-4281 2014-03-24
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Competitor

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City PHILADELPHIA
Zip Code 19111

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Dataset Information

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.

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