| Absolutecare Of Philadelphia, Llc | |
|
1080 N Delaware Ave Ste 800 Philadelphia PA 19125 | |
| (267) 463-5800 | |
| (215) 586-6038 |
| Full Name | Absolutecare Of Philadelphia, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1080 N Delaware Ave Ste 800, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Gregory P Foti (PRESIDENT, VICE PRESIDENT, TREASURE) |
| Authorized Official Contact | 4437380225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Absolutecare Of Philadelphia, Llc 10175 Little Patuxent Pkwy Ste 800 Columbia MD 21044-3401 Ph: (667) 400-0483 | Absolutecare Of Philadelphia, Llc 1080 N Delaware Ave Ste 800 Philadelphia PA 19125 Ph: (267) 463-5800 |
| NPI Number | 1437662772 |
|---|---|
| Provider Enumeration Date | 11/08/2017 |
| Last Update Date | 10/31/2024 |
| Medicare PECOS PAC ID | 3476804246 |
|---|---|
| Medicare Enrollment ID | O20180919000152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437662772 | NPI | - | NPPES |
| 1035008190001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
| Provider Name | Steven C Wilbraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366485864 PECOS PAC ID: 6305741356 Enrollment ID: I20031203000287 |
| Provider Name | Rade B Vukmir |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730177387 PECOS PAC ID: 5395659098 Enrollment ID: I20051213000751 |
| Provider Name | Gina Simoncini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972755544 PECOS PAC ID: 5991850984 Enrollment ID: I20090826000755 |
| Provider Name | Katina E Papasifakis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902225204 PECOS PAC ID: 7618194515 Enrollment ID: I20140818001235 |
| Provider Name | Aqiyla Muhammad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174685689 PECOS PAC ID: 5799905147 Enrollment ID: I20141007000209 |
| Provider Name | Ryan B Sholinsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922544923 PECOS PAC ID: 3173807138 Enrollment ID: I20170313000309 |
| Provider Name | Tina Ahmadinejad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114331337 PECOS PAC ID: 4789956905 Enrollment ID: I20170823002908 |
| Provider Name | Joshua Nathaniel Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770090375 PECOS PAC ID: 5294098380 Enrollment ID: I20180425000714 |
| Provider Name | Anoop Manikarnika Raman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770825242 PECOS PAC ID: 9436414661 Enrollment ID: I20180517001608 |
| Provider Name | Olatokunbo Madupe Adeniyi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174621809 PECOS PAC ID: 0244204204 Enrollment ID: I20180625002605 |
| Provider Name | Monique L Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558823187 PECOS PAC ID: 4880132281 Enrollment ID: I20240816000988 |
| Provider Name | Allison Grayce Barnhart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013696988 PECOS PAC ID: 1557894078 Enrollment ID: I20241023000202 |
| Provider Name | Susan Padrino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184640724 PECOS PAC ID: 3870579550 Enrollment ID: I20241025000054 |
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