CENTRAL SQUARE MEDICAL CENTER - GRANT AVE
NPI 1316072077
Family Medicine in Philadelphia, PA

Active since February 22, 2007CLIA 39D2318958 · Waiver
9501 ROOSEVELT BLVD, SUITE 206-B, PHILADELPHIA, PA 19114(215) 671-8900(215) 671-1272 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 12, 2022, Jun 19, 2020 (2 updates tracked since 2020).

About Central Square Medical Center - Grant Ave NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRAL SQUARE MEDICAL CENTER - GRANT AVE (NPI 1316072077) is a healthcare organization registered as a family medicine in Philadelphia, Pennsylvania and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through February 20, 2027 and lists Ronald M. Kumor, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1316072077
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameARIA HEALTH PHYSICIAN SERVICES
Location Address9501 ROOSEVELT BLVD, SUITE 206-BPhiladelphia, PA 19114-1025
Mailing AddressPo Box 825395Philadelphia, PA 19182-5395 · (215) 671-8900 · Fax (215) 671-1272
Fax(215) 671-1272
Organization SubpartNo
Authorized OfficialRonald M. KumorSenior Vice President · (215) 612-4858
Enumeration DateFebruary 22, 2007
Last NPPES UpdateOctober 12, 20222 updates tracked since enumeration
NPPES CertifiedOctober 12, 2022
NPI 1316072077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X
9501 ROOSEVELT BLVD, Philadelphia, PA 19114

Other Names 2

Doing Business AsCentral Square Medical Center - Grant Ave
Doing Business AsAria Health Physician Services - Central Square Medical

Other Identifiers 9

Medicaid1007526250039PA
Medicaid1007526250051PA
Other10236PA · Health Partners
Medicaid1007526250041PA
Other1026492PA · Keystone Mercy
Other19933PA · Aetna
Other379777PA · Highmark Blue Shield
Other379777PA · Personal Choice
Other0200976001PA · Keystone, Ibc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2318958

Central Square Medical Ctr · Philadelphia, PA
Active · expires Feb 20, 2027
CLIA Number39D2318958
Laboratory TypePhysician Office
Certificate Effective DateFebruary 21, 2025
Certificate Expiration DateFebruary 20, 2027
Laboratory DirectorDr. Kelsey J. Temple
Laboratory Phone(215) 671-8900
Laboratory LocationCentral Square Medical Ctr9501 Roosevelt Blvd, Ste 206, Philadelphia, PA 19114
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
9501 ROOSEVELT BLVD
PHILADELPHIA, PA 19114
Dermatology
9501 ROOSEVELT BLVD, SUITE 508
PHILADELPHIA, PA 19114
Dentist (Oral and Maxillofacial Surgery)
9501 ROOSEVELT BLVD, SUITE 101
PHILADELPHIA, PA 19114
Internal Medicine (Endocrinology, Diabetes & Metabolism)
9501 ROOSEVELT BLVD, SUITE 400
PHILADELPHIA, PA 19114
Internal Medicine (Endocrinology, Diabetes & Metabolism)
9501 ROOSEVELT BLVD, SUITE 400
PHILADELPHIA, PA 19114
Internal Medicine
9501 ROOSEVELT BLVD, SUITE 400
PHILADELPHIA, PA 19114
Family Medicine
9501 ROOSEVELT BLVD, SUITE 206 B
PHILADELPHIA, PA 19114
Urology
9501 ROOSEVELT BLVD, SUITE 201
PHILADELPHIA, PA 19114

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aria Health Physician Services's NPI number?

The NPI number for Aria Health Physician Services is 1316072077. It was assigned to this organization in the NPPES registry on February 22, 2007. The provider is doing business as Central Square Medical Center - Grant Ave and Aria Health Physician Services - Central Square Medical.

Where is Aria Health Physician Services located?

Aria Health Physician Services is located at 9501 Roosevelt Blvd Suite 206-B, Philadelphia, PA 19114. The listed phone number is (215) 671-8900.

What is Aria Health Physician Services's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Aria Health Physician Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2318958) is associated with this NPI, valid through February 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Aria Health Physician Services accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Aria Health Physician Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Aria Health Physician Services was last updated on October 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.