AYEESHA ADOLPHUS (NPI# 1447885132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447885132 |
Entity Type | Individual |
Full Name | AYEESHA ADOLPHUS |
Credential | PMHNP-BC |
Practice Address |
5800 Ridge Ave Philadelphia PA 19128 |
Mailing Address |
1500 Lansdowne Ave Darby PA 19023-1200 |
Practice Telephone | 4844294732 |
Mailing Telephone | 4844294732 |
Enumeration Date | 2020-03-03 |
Last Update Date | 2020-03-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
SP021592 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1500 Lansdowne Ave, Darby, PA 190231200 | 4844294732 |
Street Address |
5800 RIDGE AVE |
City | PHILADELPHIA |
State | PA |
Zip Code | 19128 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417959941 | Freda Lozanoff | Emergency Medicine | 5800 Ridge Ave, Philadelphia, PA 19128-1737 | 2005-08-15 |
1841818507 | Margi Gami | Podiatrist | 5800 Ridge Ave, Philadelphia, PA 19128 | 2020-07-09 |
1255986055 | Gagandeep Sandhu | Podiatrist | 5800 Ridge Ave, Philadelphia, PA 19128 | 2019-08-08 |
1316509177 | Suraj Hansalia | Podiatrist | 5800 Ridge Ave, Philadelphia, PA 19128 | 2019-07-02 |
1770145856 | Ashmi Shah | Student in an Organized Health Care Education/Training Program | 5800 Ridge Ave, Philadelphia, PA 19128 | 2019-06-28 |
1538636550 | Julie A Laureni | Physician Assistant | 5800 Ridge Ave, Philadelphia, PA 19128 | 2018-10-29 |
1649766809 | Sang Hyub Kim | Podiatrist | 5800 Ridge Ave, Philadelphia, PA 19128 | 2018-07-10 |
1790276640 | James Robert Brandt | Student in an Organized Health Care Education/Training Program | 5800 Ridge Ave, Philadelphia, PA 19128 | 2018-05-27 |
1194236273 | Brian Jones Jr. | Physician Assistant | 5800 Ridge Ave, Suite 234, Philadelphia, PA 19128 | 2017-10-17 |
1780114678 | Lpp of Pennsylvania LLC | Emergency Medicine | 5800 Ridge Ave, Philadelphia, PA 19128-1737 | 2017-06-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851877179 | Andrew Mermelstein | Podiatrist | 5800 Roxborough Avenue, Philadelphia, PA 19128 | 2018-07-19 |
1811499361 | Ursula Wacyk | Social Worker | 6122 Ridge Avenue, Philadelphia, PW 19128 | 2018-03-01 |
1417478454 | Chelsea Lynn Roberts | Physician Assistant | 707 Autumn River Run, Philadelphia, PA 19128 | 2017-06-29 |
1174060503 | Melody Ann Piranian | Nurse Practitioner | Andorra Pediatrics, 8945 Ridge Ave St 5, Phila, PA 19128 | 2017-01-24 |
1154874410 | Meghan Smith | Pharmacist | 5927-59 Ridge Ave, Philadelphia, PA 19128 | 2016-08-03 |
1356797880 | Jenna Angelo | Registered Nurse | 457 Spring Lane, Philadelphia, PA 19128 | 2016-05-13 |
1689049843 | Newcourtland Senior Centers | Clinic/Center | 4200b Mitchell Street, Suie 1000, Philadelphia, PA 19128 | 2015-12-14 |
1235519331 | Merin Wexler | Social Worker | 6060 Ridge Avenue, Suite 210, Philadelphia, PA 19128 | 2015-06-03 |
1457754335 | Sarah De Simone | Specialist/Technologist | 318 Fountain Street, Philadelphia, PA 19128 | 2014-10-06 |
1609280049 | Sylvia Russianoff | Counselor | 128 Rochelle Avenue, Philadelphia, PA 19128 | 2014-06-13 |
Find all providers in zip 19128 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770199341 | Nicole Kassandra Carissimi | Nurse Practitioner | 1618 S 19th St, Philadelphia, PA 19145-1439 | 2020-09-19 |
1770192775 | Lisa Ghiloni | Nurse Practitioner | 6809 N 10th St, Philadelphia, PA 19126-2906 | 2020-07-26 |
1104440940 | Patricia Cecilia Castillo | Nurse Practitioner | 49204 Delaire Landing Rd, Philadelphia, PA 19114-5329 | 2020-06-06 |
1184271074 | Clement John | Nurse Practitioner | 3253 N 6th St, Philadelphia, PA 19140-5644 | 2019-08-25 |
1558915967 | Latoya Mohammed | Nurse Practitioner | 3300 Henry Ave Ste 3n, Philadelphia, PA 19129-1141 | 2019-07-25 |
1225427867 | Alison Ercole | Nurse Practitioner | 4301 Spruce St, Apt A 414, Philadelphia, PA 19104-4760 | 2015-01-20 |
1790195386 | Thomasean Britten | Nurse Practitioner | 449 Parker Ave, Philadelphia, PA 19128-4403 | 2014-05-05 |
1891048377 | Elizabeth Ann Milburn | Nurse Practitioner | 1528 Walnut St Ste 1414, Philadelphia, PA 19102-3610 | 2012-10-20 |
1336410851 | Justin Egoville | Nurse Practitioner | 80001 State Rd., Mhm Correctional Services, Mod II, Philadelphia, PA 19136-0000 | 2012-01-13 |
1396050720 | Dwayne M Toomer | Nurse Practitioner | 718 Addison St Apt E, Philadelphia, PA 19147-1353 | 2010-08-10 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19128 |
Please comment or provide details below to improve the information on AYEESHA ADOLPHUS.
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.