GENESIS PENNYPACK CENTER (NPI# 1649616798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649616798 |
| Entity Type | Organization |
| Organization Name | GENESIS PENNYPACK CENTER |
| Practice Address |
8015 Lawndale Ave Philadelphia PA 19111-1507 |
| Mailing Address |
8015 Lawndale Street Philadelphia PA 19111-1507 |
| Practice Telephone | 2157252525 |
| Practice Fax Number | 2157453970 |
| Mailing Telephone | 2157252525 |
| Mailing Fax Number | 2157453970 |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-05-16 |
| Authorized Official Name | DR. EDWIN MEROW (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2157252525 |
| Authorized Official Credential | DO |
| Is Organization Subpart | Y |
| Parent Organization Name | GENESIS HCC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
OS001737L | PA | Ambulatory Health Care Facilities |
| Street Address |
8015 LAWNDALE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19111-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811939143 | Encare of Pennypack, Inc. | Skilled Nursing Facility | 8015 Lawndale Ave, Philadelphia, PA 19111-1507 | 2006-06-12 |
| 1275022816 | Pennypack Center Snf LLC | Skilled Nursing Facility | 8015 Lawndale Ave, Philadelphia, PA 19111-1507 | 2018-05-09 |
| 1831506104 | Lori Deck | Occupational Therapy Assistant | 8015 Lawndale Ave, Philadelphia, PA 19111-1507 | 2014-07-17 |
| 1225320948 | Jillmary Chazhicattu | Occupational Therapist | 8015 Lawndale Ave, Philadelphia, PA 19111-1507 | 2011-05-13 |
| 1851573166 | 8015 Lawndale Street Operations LLC | Skilled Nursing Facility | 8015 Lawndale Ave, Philadelphia, PA 19111-1507 | 2007-11-28 |
| 1851418248 | Colleen Peterson | Physical Therapist | 8015 Lawndale Ave, Philadelphia, PA 19111-1507 | 2007-03-23 |
| 1598880221 | Lisa Hare | Occupational Therapy Assistant | 8015 Lawndale Ave, Philadelphia, PA 19111-1507 | 2007-03-20 |
| 1659496974 | Michelle Florence Baun | Occupational Therapist | 8015 Lawndale Ave, Philadelphia, PA 19111-1507 | 2007-03-20 |
| 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 |
| Find all providers in zip 19111 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1043835705 | Reeves Physical Therapy LLC | Clinic/Center | 509 Spring Garden St, Philadelphia, PA 19123-2820 | 2020-06-09 |
| 1710537097 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 19 W Highland Ave, Philadelphia, PA 19118-3309 | 2019-09-18 |
| 1235679044 | Norman Mudasir Dc PC | Clinic/Center | 6000 N Broad St, Suite 1, Philadelphia, PA 19141-1900 | 2017-02-27 |
| 1528286424 | North Philadelphia Rehabilitation Center, Inc. | Clinic/Center | 1500 W Erie Ave, Philadelphia, PA 19140-4139 | 2007-04-23 |
| 1275694457 | Jennifer Chu, M.d.,llc | Clinic/Center | 3401 Market St, Suite 135, Philadelphia, PA 19104-3318 | 2006-12-12 |
| 1871581991 | Temple University of The Commonwealth System of Higher Education | Clinic/Center | 3401 N Broad St, Bsmt Rock Pavilion, Philadelphia, PA 19140-5103 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120448 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 14953 Kutztown Rd Ste 1, Kutztown, PA 19530-8381 | 2020-10-08 |
| 1558979328 | Phs Physical Therapy, LLC | Clinic/Center | 2201 Brunswick Dr Ste 2400, Hanover, PA 17331-8350 | 2020-07-17 |
| 1235751264 | Keystone Rehabilitation Systems, Inc. | Clinic/Center | 289 Cetronia Rd Unit 102, Allentown, PA 18104-9223 | 2020-05-13 |
| 1770105082 | Institute for Cognitive Prosthetics Inc | Clinic/Center | 346 Llandrillo Rd, Bala Cynwyd, PA 19004-2335 | 2020-05-08 |
| 1245877430 | Rehabclinics (spt), Inc. | Clinic/Center | 255 Main St Ste 120, King of Prussia, PA 19406-1509 | 2019-12-06 |
| 1457994253 | Phs Physical Therapy, LLC | Clinic/Center | 5815 York Rd, New Oxford, PA 17350-9464 | 2019-10-24 |
| 1902453343 | Rehabclinics (spt), Inc. | Clinic/Center | 2721 Street Rd Ste 2735, Bensalem, PA 19020-2810 | 2019-08-21 |
| 1588218044 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 30 Liberty Boulevard, Suite 140, Malvern, PA 19355 | 2019-08-01 |
| 1609368307 | Angels Light Addiction Specialists LLC | Clinic/Center | 1023 Pittsburgh Rd Ste 100, Uniontown, PA 15401-8407 | 2018-05-30 |
| 1437659620 | Perform Physio | Clinic/Center | 129 Mccarrell Ln, Zelienople, PA 16063-2827 | 2018-02-14 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19111 |
Please comment or provide details below to improve the information on GENESIS PENNYPACK CENTER.
| 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.