DEDICATED PENNSYLVANIA HOLDING, LLC
NPI 1366950776
Specialist in Philadelphia, PA

Active since January 19, 2018
5675 N. FRONT STRREET, SUITE 141, PHILADELPHIA, PA 19120(305) 628-6117(305) 363-5989 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2018, Jan 19, 2018 (2 updates tracked since 2018).

About Dedicated Pennsylvania Holding, Llc NPPES

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

DEDICATED PENNSYLVANIA HOLDING, LLC (NPI 1366950776) is a healthcare organization registered as a specialist in Philadelphia, Pennsylvania and active in the NPI registry since January 2018. The organization lists Mary Chen, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1366950776
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDEDICATED PENNSYLVANIA HOLDING, LLC
Location Address5675 N. FRONT STRREET, SUITE 141Philadelphia, PA 19120-1910
Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5710 · (305) 628-6117 · Fax (305) 363-5989
Fax(305) 363-5989
Organization SubpartNo
Authorized OfficialMary ChenAuthorized Official · (305) 831-4722
Enumeration DateJanuary 19, 2018
Last NPPES UpdateOctober 31, 20242 updates tracked since enumeration
NPPES CertifiedOctober 31, 2024
NPI 1366950776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
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.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X
5675 N. FRONT STRREET, Philadelphia, PA 19120

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Dedicated Pennsylvania Holding, LLC's NPI number?

The NPI number for Dedicated Pennsylvania Holding, LLC is 1366950776. It was assigned to this organization in the NPPES registry on January 19, 2018.

Where is Dedicated Pennsylvania Holding, LLC located?

Dedicated Pennsylvania Holding, LLC is located at 5675 N. Front Strreet Suite 141, Philadelphia, PA 19120. The listed phone number is (305) 628-6117.

What is Dedicated Pennsylvania Holding, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Dedicated Pennsylvania Holding, LLC was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.