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NORTHERN LIBERTIES WELLNESS GROUP
NPI 1457737967
General Practice in Philadelphia, PA

Active since August 06, 2015
520 N COLUMBUS BLVD, SUITE 202, PHILADELPHIA, PA 19123(215) 239-3097(215) 239-3098 Get Directions Write a Review

NPPES record last updated: August 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northern Liberties Wellness Group NPPES

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

NORTHERN LIBERTIES WELLNESS GROUP (NPI 1457737967) is a healthcare organization registered as a general practice in Philadelphia, Pennsylvania and active in the NPI registry since August 2015. The organization lists Lolamarie Davis, Administrator, as its authorized official.

NPPES Registry Identity

NPI1457737967
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameNORTHERN LIBERTIES WELLNESS GROUP
Location Address520 N COLUMBUS BLVD, SUITE 202Philadelphia, PA 19123-4226
Mailing AddressPo Box 9900Hamilton, NJ 08650-1900 · (215) 239-3097 · Fax (215) 239-3098
Phone(215) 239-3097
Fax(215) 239-3098
Organization SubpartNo
Authorized OfficialLolamarie DavisAdministrator · (215) 239-3096
Enumeration DateAugust 6, 2015
✔ NPI 1457737967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PA · OS011923
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedChiropractor · RehabilitationTaxonomy 111NR0400X · License DC002363 (PA)
520 N COLUMBUS BLVD, Philadelphia, PA 19123
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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

Other Providers at the Same Location NPPES 6

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

PMHCC CTT INC
Case Management
520 N COLUMBUS BLVD, 4D
PHILADELPHIA, PA 19123
Philadelphia County (215) 923-8042
PAIN CARE MANAGEMENT, LLC
Health Maintenance Organization
520 N COLUMBUS BLVD, SUITE 202
PHILADELPHIA, PA 19123
Philadelphia County (215) 239-3097
ST. JOHN'S COMMUNITY SERVICES
Day Training, Developmentally Disabled Services
520 N COLUMBUS BLVD
PHILADELPHIA, PA 19123
Philadelphia County (267) 238-9540
RX PLUS LLC
Pharmacy (Managed Care Organization Pharmacy)
520 N COLUMBUS BLVD, SUITE 202
PHILADELPHIA, PA 19123
Philadelphia County (215) 239-3097
DR. DOMINICK GREGORY CARFELLO D.C.
Chiropractor
520 N COLUMBUS BLVD, SUITE 204
PHILADELPHIA, PA 19123
Philadelphia County (215) 239-3097
MOHAMADO MUSTHAQ M.D.
Psychiatry & Neurology (Psychiatry)
520 N COLUMBUS BLVD
PHILADELPHIA, PA 19123
Philadelphia County (215) 923-8042

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 Northern Liberties Wellness Group's NPI number?

The NPI number for Northern Liberties Wellness Group is 1457737967. It was assigned to this organization in the NPPES registry on August 6, 2015.

Where is Northern Liberties Wellness Group located?

Northern Liberties Wellness Group is located at 520 N Columbus Blvd Suite 202, Philadelphia, PA 19123. The listed phone number is (215) 239-3097.

What is Northern Liberties Wellness Group's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Northern Liberties Wellness Group was last updated on August 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.