HENRY AVE PHCY (NPI# 1609936947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609936947 |
| Entity Type | Organization |
| Organization Name | HENRY AVE PHCY |
| Practice Address |
5830 Henry Ave Philadelphia PA 19128-1701 |
| Practice Telephone | 2154833300 |
| Practice Fax Number | 2154835471 |
| Mailing Telephone | 2154833300 |
| Mailing Fax Number | 2154835471 |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2008-02-28 |
| Authorized Official Name | MR. MICHAEL SADEL (OWNER) |
| Authorized Official Telephone | 2154833300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | PP-415575-L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0017647900001 | 05 | |
| NABP | 3976480 | 01 |
| Street Address |
5830 HENRY AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19128-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306944111 | Joseph Adamitis | Podiatrist | 5830 Henry Ave, Philadelphia, PA 19128 | 2006-09-20 |
| 1487820775 | Julia Mae Helstrom | Family Medicine | 5830 Henry Ave, Philadelphia, PA 19128-1754 | 2008-05-06 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590534 | Restorative Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1516 N 5th St Unit 327, Philadelphia, PA 19122-3679 | 2020-08-31 |
| 1730799982 | The Medical Store, Inc. | Durable Medical Equipment & Medical Supplies | 210 Canal Pl, Philadelphia, MS 39350-8909 | 2020-08-03 |
| 1487279170 | The Doctor Shop L.L.C. | Durable Medical Equipment & Medical Supplies | 10067 Sandmeyer Ln Ste 214, Philadelphia, PA 19116-3533 | 2020-06-09 |
| 1427687813 | Squeezren, LLC | Durable Medical Equipment & Medical Supplies | 5902 Old York Rd, Philadelphia, PA 19141-2342 | 2020-04-07 |
| 1881228930 | Vantage Eyecare, LLC | Durable Medical Equipment & Medical Supplies | 1930 S Broad St Unit 16, Philadelphia, PA 19145-2328 | 2020-02-27 |
| 1508410531 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3550 Market St Ste 103, Philadelphia, PA 19104-3329 | 2019-07-29 |
| 1033761788 | Pennsylvania Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 490 N. Broad Street Suite 100, Philadelphia, PA 19130-4312 | 2019-07-12 |
| 1881256451 | Medical Discovery Systems, LLC | Durable Medical Equipment & Medical Supplies | 5425 Oxford Ave., 5425 Oxford Ave. Suite (3 A), Philadelphia, PA 19124 | 2019-07-03 |
| 1174189294 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1717 N 12th St Unit F, Philadelphia, PA 19122-2585 | 2019-05-14 |
| 1285196238 | Ernest Thomas Jr. | Durable Medical Equipment & Medical Supplies | 300 E Godfrey Ave, Philadelphia, PA 19120-1646 | 2019-04-01 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19128 |
Please comment or provide details below to improve the information on HENRY AVE PHCY.
| 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.