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GAUDENZIA NEW IMAGE
NPI 1730212861
Clinic/Center - Rehabilitation, Substance Use Disorder in Philadelphia, PA

Active since March 14, 2007
1300 E TULPEHOCKEN ST, PHILADELPHIA, PA 19138(215) 924-6322(215) 924-5531 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Gaudenzia New Image NPPES

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

GAUDENZIA NEW IMAGE (NPI 1730212861) is a healthcare organization registered as a rehabilitation, substance use disorder in Philadelphia, Pennsylvania and active in the NPI registry since March 2007. The organization lists Mike Williams, Sr. Contracting Manager, as its authorized official.

NPPES Registry Identity

NPI1730212861
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameGAUDENZIA INC
Location Address1300 E TULPEHOCKEN STPhiladelphia, PA 19138-1523
Mailing Address106 W Main StNorristown, PA 19401-4716 · (610) 239-9600 · Fax (610) 275-7025
Phone(215) 924-6322
Fax(215) 924-5531
Organization SubpartNo
Authorized OfficialMike WilliamsSr. Contracting Manager · (484) 338-3731
Enumeration DateMarch 14, 2007
Last NPPES UpdateMarch 10, 20222 updates tracked since enumeration
NPPES CertifiedMarch 10, 2022
✔ NPI 1730212861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in PA · 807230
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 807230 (PA)
1300 E TULPEHOCKEN ST, Philadelphia, PA 19138
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Other Names 1

Other NameGaudenzia New Image

Other Identifiers 2

Medicaid1002285890047PA
Medicaid1002285890048PA

Other Providers at the Same Location NPPES 3

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

PUBLIC HEALTH MANAGEMENT CORPORATION
Clinic/Center (Federally Qualified Health Center (FQHC))
1300 E TULPEHOCKEN ST
PHILADELPHIA, PA 19138
Philadelphia County (215) 685-2800
PHILADELPHIA HEALTH MANAGEMENT CORPORATION
Clinic/Center (Family Planning, Non-Surgical)
1300 E TULPEHOCKEN ST, PHMC NURSING CENTER
PHILADELPHIA, PA 19138
Philadelphia County (215) 548-7850
CHERVAL BASSETT
Registered Nurse
1300 E TULPEHOCKEN ST
PHILADELPHIA, PA 19138
Philadelphia County (215) 924-3445

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 Gaudenzia Inc's NPI number?

The NPI number for Gaudenzia Inc is 1730212861. It was assigned to this organization in the NPPES registry on March 14, 2007. The provider is also known as Gaudenzia New Image.

Where is Gaudenzia Inc located?

Gaudenzia Inc is located at 1300 E Tulpehocken St, Philadelphia, PA 19138. The listed phone number is (215) 924-6322.

What is Gaudenzia Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Gaudenzia Inc was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.