MNAP MULTIPSECIALTY GROUP (NPI# 1710205745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710205745 |
| Entity Type | Organization |
| Organization Name | MNAP MULTIPSECIALTY GROUP |
| Other Organization Name | MNAP DIAGNOSTIC CENTER |
| Practice Address |
9908 Roosevelt Blvd Philadelphia PA 19115-1705 |
| Practice Telephone | 2156739260 |
| Practice Fax Number | 2156739254 |
| Mailing Telephone | 2156739260 |
| Mailing Fax Number | 2156739254 |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2010-05-14 |
| Authorized Official Name | MRS. REGINA LEYMAN (OFFICE MANAGER) |
| Authorized Official Telephone | 2156739260 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 173F00000X | Sleep Specialist, PhD | MD048245L | PA | Other Service Providers |
| N | 174400000X | Specialist | MD018061E | PA | Other Service Providers |
| N | 174400000X | Specialist | MD024403E | PA | Other Service Providers |
| N | 174400000X | Specialist | MD432721 | PA | Other Service Providers |
| N | 174400000X | Specialist | MD029547E | PA | Other Service Providers |
| Y | 174400000X | Specialist | MD422515 | PA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | INDEPENDENCE BLUE CROSS | 2324240000 | 01 |
| PA | 0019492480001 | 05 | |
| PA | HIGHMARK BLUE SHIELD | 1646499 | 01 |
| Other Name | Type Code |
|---|---|
| MNAP Diagnostic Center | Doing Business As Name - Organization |
| Street Address |
9908 ROOSEVELT BLVD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19115-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669470381 | Mnap Medical Solutions, Inc. | Radiology | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2005-07-08 |
| 1205322146 | Independent Physicians Medical Center, LLC | Psychiatry & Neurology | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2018-07-03 |
| 1154817278 | Independent Physicians Medical Center, LLC | Radiology | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2018-07-02 |
| 1730535543 | Mnap Diagnostic Imaging, LLC | Radiology | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2016-05-11 |
| 1003233719 | Pinnacle Physicians Group, LLC | Radiology | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2014-03-20 |
| 1750708376 | Pinnacle Physicians Group, LLC | Psychiatry & Neurology | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2014-03-20 |
| 1306260138 | Pinnacle Physicians Group, LLC | Internal Medicine | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2014-02-14 |
| 1215351044 | Pinnacle Physicians Group, LLC | Radiology | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2014-02-14 |
| 1760796353 | Mnap Diagnostic Imaging LLC | Podiatrist | 9908 Roosevelt Blvd, Philadelphia, PA 19115 | 2010-08-06 |
| 1588826614 | Mnap Medical Solutions | Sleep Specialist, PhD | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2008-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442696 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2044 Red Lion Road, Philadelphia, PA 19115 | 2020-09-21 |
| 1639717762 | Cassondra Ondeck | Physical Therapist | Paul's Run Retirement Community, 9896 Bustleton Ave, Philadelphia, PA 19115 | 2019-12-19 |
| 1740747641 | Comfort Ride Transit Inc | Non-emergency Medical Transport (VAN) | 248 Geiger Road, Suite 201 Unit D, Philadelphia, PA 19115 | 2019-02-27 |
| 1386101400 | Ashley Thomas | Physician Assistant | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
| 1659857027 | Kiesha Anita Abney | Occupational Therapy Assistant | Chapel Manor (genesis Rehabilitation) 1104 Welsh Road, Philadelphia, PA 19115 | 2018-07-18 |
| 1457844870 | Philadelphia Discount Pharmacy LLC | Pharmacist | 842 Red Lion Road Unit 13, Philadephia, PA 19115 | 2018-06-11 |
| 1770001828 | Ciarra Bell | Occupational Therapist | 828 Red Lion Rd, Philadelphia, PA 19115 | 2017-09-08 |
| 1245604008 | Saria Ibrahim | Counselor | 9651 Clark Street, Philadelphia, PA 19115 | 2015-11-17 |
| 1124413166 | Global Dental Plus LLC | Dentist | 9630 Bustleton Av 2nd Fl, Philadelphia, PA 19115 | 2015-04-06 |
| 1932510161 | Miriam John | Occupational Therapist | 9997 Sandy Road, Philadelphia, PA 19115 | 2014-05-09 |
| Find all providers in zip 19115 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174156012 | Sade Yolanda Davis | Specialist | 2414 N Garnet St, Philadelphia, PA 19132-3725 | 2020-02-19 |
| 1356803993 | Larkerra Goodson | Specialist | 1336 Arrott St Apt E15, Philadelphia, PA 19124-3281 | 2019-04-03 |
| 1306302617 | Keisha Robinson | Specialist | 6852 Regent St, Philadelphia, PA 19142-1213 | 2019-02-12 |
| 1740758168 | William Whitaker | Specialist | 1115 E Sanger St, Philadelphia, PA 19124-1130 | 2018-11-02 |
| 1902395536 | Ran Barzilay | Specialist | 3440 Market St, Suite 200, Philadelphia, PA 19104 | 2018-05-09 |
| 1093229668 | Danielle M Marshall | Specialist | 514 Seville St Apt 7, Philadelphia, PA 19128-2737 | 2017-11-19 |
| 1336651017 | Radhia Afif | Specialist | 5943 Weymouth St, Philadelphia, PA 19120-1122 | 2017-11-02 |
| 1306383401 | Helping Hair LLC | Specialist | 930 N 50th St, Philadelphia, PA 19131-5102 | 2017-01-26 |
| 1447796172 | Kristen Halvorson | Specialist | 3411 Cresson St, Apartment 6, Philadelphia, PA 19129-1654 | 2017-01-19 |
| 1174079131 | Sadia Randolph | Specialist | 6718 Paschall Ave, Philadelphia, PA 19142-1809 | 2016-08-30 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19115 |
Please comment or provide details below to improve the information on MNAP MULTIPSECIALTY GROUP.
| 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.