CENTRAL SQUARE MEDICAL CENTER - GRANT AVE – NPI #1316072077
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CENTRAL SQUARE MEDICAL CENTER - GRANT AVE is a provider located in PHILADELPHIA, PA. NPPES has assigned the NPI number 1316072077 to CENTRAL SQUARE MEDICAL CENTER - GRANT AVE on February 22, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTRAL SQUARE MEDICAL CENTER - GRANT AVE” is a dba name, the actual legal business name for this organization is ARIA HEALTH PHYSICIAN SERVICES. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Oct 12, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTRAL SQUARE MEDICAL CENTER - GRANT AVE below.

NPI Profile for
ARIA HEALTH PHYSICIAN SERVICES

NPI Number
1316072077
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ARIA HEALTH PHYSICIAN SERVICES
Doing Business As (dba): CENTRAL SQUARE MEDICAL CENTER - GRANT AVE
Other name(s)
All associated names:
Doing Business As (dba)
ARIA HEALTH PHYSICIAN SERVICES - CENTRAL SQUARE MEDICAL
Doing Business As (dba)
Central Square Medical Center - Grant Ave
Primary location
9501 ROOSEVELT BLVD
SUITE 206-B
PHILADELPHIA, PA 19114-1025
Phone: (215) 671-8900 Fax: (215) 671-1272
Mailing address
PO BOX 825395
PHILADELPHIA, PA 19182-5395
Phone: (215) 671-8900 Fax: (215) 671-1272
Organization Subpart
No
Authorized Official
RONALD KUMOR
SENIOR VICE PRESIDENT
Phone: (215) 612-4858
Updated
Certification Date
Oct 12, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CENTRAL SQUARE MEDICAL CENTER - GRANT AVE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherAETNAPA19933
otherHEALTH PARTNERSPA10236
otherHIGHMARK BLUE SHIELDPA379777
otherKEYSTONE MERCYPA1026492
otherKEYSTONE, IBCPA0200976001
otherPERSONAL CHOICEPA379777
medicaidPA1007526250039
medicaidPA1007526250041
medicaidPA1007526250051
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
PA
207R00000X
- Internal Medicine
PA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.