DR. MOSES-DARA ELIJAH PARKS MD
NPI 1619654548
Student in an Organized Health Care Education/Training Program in Philadelphia, PA
About Dr. Moses-dara Elijah Parks Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MOSES-DARA ELIJAH PARKS MD (NPI 1619654548) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Moses-dara Elijah Parks Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PHILADELPHIA, PA 19152
PHILADELPHIA, PA 19152
PHILADELPHIA, PA 19152
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 Moses-dara Parks's NPI number?
The NPI number for Moses-dara Parks is 1619654548. It was assigned to this individual provider in the NPPES registry on July 3, 2023.
Where is Moses-dara Parks located?
Moses-dara Parks practices at 2601 Holme Ave, Philadelphia, PA 19152. The listed phone number is (215) 335-6520.
What is Moses-dara Parks's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Moses-dara Parks enrolled in Medicare?
Yes. Moses-dara Parks is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Moses-dara Parks was last updated on July 3, 2023. 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.
# Dr. Moses-Dara Elijah Parks, MD · NPI 1619654548
Student in an Organized Health Care Education/Training Program provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 3, 2023.
## Identity
- **NPI:** 1619654548 (Entity type: Individual)
- **Enumerated:** July 3, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2601 HOLME AVE, Philadelphia, PA 19152-2007
- **Phone:** (215) 335-6520
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 3, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1619654548) · Data from the CMS NPPES public registry.