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IMA PROFESSIONAL SERVICES OF PA, PC
NPI 1740668409
Case Manager/Care Coordinator in Philadelphia, PA

Active since May 14, 2015CLIA 39D2148841 · Waiver
1930 S BROAD ST, SUITE 11, PHILADELPHIA, PA 19145(267) 758-2460 Get Directions Write a Review

NPPES record last updated: May 14, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ima Professional Services Of Pa, Pc NPPES

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

IMA PROFESSIONAL SERVICES OF PA, PC (NPI 1740668409) is a healthcare organization registered as a case manager/care coordinator in Philadelphia, Pennsylvania and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through May 20, 2028 and lists David C Pulver, President, as its authorized official.

NPPES Registry Identity

NPI1740668409
Entity TypeOrganization
Primary Taxonomy171M00000X
Legal Business NameIMA PROFESSIONAL SERVICES OF PA, PC
Location Address1930 S BROAD ST, SUITE 11Philadelphia, PA 19145-2328
Mailing Address660 White Plains Rd, Suite 630Tarrytown, NY 10591-5139 · (914) 323-0300
Phone(267) 758-2460
Organization SubpartNo
Authorized OfficialDavid C PulverPresident · (914) 323-0307
Enumeration DateMay 14, 2015
✔ NPI 1740668409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedPublic Health or WelfareTaxonomy 251K00000X
1930 S BROAD ST, Philadelphia, PA 19145
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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 39D2148841

Ima Professional Services Of PA, PC · Philadelphia, PA
Active · expires May 20, 2028
CLIA Number39D2148841
Laboratory TypePhysician Office
Certificate Effective DateMay 21, 2026
Certificate Expiration DateMay 20, 2028
Laboratory DirectorDr. Justine A. Magurno
Laboratory Phone(845) 452-8500
Laboratory LocationIma Professional Services Of PA, PC1930 S Broad St, Ste 11, Philadelphia, PA 19145
CLIA data matches this NPI record on: Address Name
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.

MISS JAQUELINE D INTRIAGO
Registered Nurse
1930 S BROAD ST
PHILADELPHIA, PA 19145
Philadelphia County (215) 339-4563
MS. SHEARA YOUNG
Social Worker (Clinical)
1930 S BROAD ST
PHILADELPHIA, PA 19145
Philadelphia County (215) 339-4405
MS. SHINIA BRADLEY RN
Registered Nurse
1930 S BROAD ST
PHILADELPHIA, PA 19145
Philadelphia County (215) 339-4563
AMANDA MICHELLE AYALA COTA
Occupational Therapy Assistant
1930 S BROAD ST
PHILADELPHIA, PA 19145
Philadelphia County (267) 570-5342
DR. NIMESH PATEL MD
Hospitalist
1930 S BROAD ST
PHILADELPHIA, PA 19145
Philadelphia County (267) 570-5200
SITAR ENTERPRISE LLC
Pharmacy (Community/Retail Pharmacy)
1930 S BROAD ST, UNIT 15
PHILADELPHIA, PA 19145
Philadelphia County (215) 661-1211
CHRISTINE MATTEO RN
Registered Nurse
1930 S BROAD ST
PHILADELPHIA, PA 19145
Philadelphia County (215) 339-4563
MRS. PATRICIA ANNE WESTERFER RN
Registered Nurse
1930 S BROAD ST
PHILADELPHIA, PA 19145
Philadelphia County (215) 339-4563

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 Ima Professional Services Of PA, PC's NPI number?

The NPI number for Ima Professional Services Of PA, PC is 1740668409. It was assigned to this organization in the NPPES registry on May 14, 2015.

Where is Ima Professional Services Of PA, PC located?

Ima Professional Services Of PA, PC is located at 1930 S Broad St Suite 11, Philadelphia, PA 19145. The listed phone number is (267) 758-2460.

What is Ima Professional Services Of PA, PC's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Does Ima Professional Services Of PA, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2148841) is associated with this NPI, valid through May 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ima Professional Services Of PA, PC was last updated on May 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.