GATEWAY MOBILE MEDICAL, LLC (NPI# 1790181873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790181873 |
| Entity Type | Organization |
| Organization Name | GATEWAY MOBILE MEDICAL, LLC |
| Practice Address |
208 N Lansdowne Ave Lansdowne PA 19050-1320 |
| Practice Telephone | 2679759313 |
| Mailing Telephone | 2679759313 |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |
| Authorized Official Name | MS. BERNADINE O LEWIS (PRESIDENT AND CEO) |
| Authorized Official Telephone | 2679759313 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
MA050628 | PA | Ambulatory Health Care Facilities |
| Street Address |
208 N LANSDOWNE AVE |
| City | LANSDOWNE |
| State | PA |
| Zip Code | 19050-1320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063075919 | Elite Provider Management, LLC | Nurse Practitioner | 941 Church Ln, Lansdowne, PA 19050 | 2019-04-16 |
| 1598295602 | Sherita Baylis | In Home Supportive Care | 112 Hirst Ave, Lansdowne, PA 19050 | 2017-06-13 |
| 1417486861 | Raul Alvarez De- La Cadena | Counselor | 7 Willowbrook Ave, Lansdowne, PA 19050 | 2017-06-08 |
| 1154857589 | Pettaway Pursuit Foundation | Home Health | 11 Owen Ave, Lansdowne, PA 19050 | 2017-05-04 |
| 1265895155 | Ruth Levin | Behavioral Analyst | 111 N. Lansdowne Ave. Bldg 4 J2, Lansdowne, PA 19050 | 2016-03-30 |
| 1366865065 | Anthony Napoletano | Hearing Instrument Specialist | 54 E. Baltimore Avenue, Lansdowne, PA 19050 | 2014-01-31 |
| 1386984151 | Se,com,sa | Chronic Disease Hospital | Eurovillage Compound, Al Khobar, Eastern Province, 3193, Saudi Arabia, EUROVILLAGE COMPOUND, AL KHOBAR, EASTERN 19050 | 2013-02-15 |
| 1659636116 | Ameri Dental Group P.C. | Dentist | 43 South Lansdowne Avenue, Lansdowne, PA 19050 | 2012-07-11 |
| 1184934663 | Neil I Pakett | Dentist | 43 S. Lansdowne Ave., Lansdowne, PA 19050 | 2010-10-18 |
| 1376863043 | Soar Corp | Community/Behavioral Health | 33 Williams St, Lansdowne, PA 19050 | 2010-06-04 |
| Find all providers in zip 19050 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 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.