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NPI · 1477053569 · NPPES-sourced

Dedicated Pennsylvania Holding, LLC

ActiveSpecialist
NPI Number
1477053569
Type 2 · Organisation
Taxonomy Code
174400000X
Contact
(305) 628-6117
Primary practice line
Last Updated
About 8 years ago (Mar 2018)
Enumerated 2018-02-15
Primary practice addressPA · 19149-3118
6431 Sackett StPhiladelphia, PA 19149-3118
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About this NPIWhat this record shows.

NPI 1477053569 is registered to Dedicated Pennsylvania Holding, LLC, a healthcare organisation classified as "Specialist" and located at 6431 Sackett St in Philadelphia, Pennsylvania. The organisation's authorised official is Raymond Jimenez. The organisation has been enumerated in the NPI registry since 2018.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2018-02-15
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dedicated Pennsylvania Holding, LLC accepts. To confirm in-network status with your specific health plan, contact Dedicated Pennsylvania Holding, LLC directly at (305) 628-6117.

Frequently asked

Yes. NPI 1477053569 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Specialist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (305) 628-6117.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dedicated Pennsylvania Holding, LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy174400000X
Last updated2018-03
Enumerated2018-02-15
StatusActive
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