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GREAT HEALTH MEDICAL PA PC
NPI 1750212056
Nurse Practitioner - Primary Care in Philadelphia, PA

Active since May 26, 2026
100 S JUNIPER ST FL 3, PHILADELPHIA, PA 19107(718) 470-0288 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Great Health Medical Pa Pc NPPES

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

GREAT HEALTH MEDICAL PA PC (NPI 1750212056) is a healthcare organization registered as a primary care in Philadelphia, Pennsylvania and active in the NPI registry since May 2026. The organization lists Sonika Randev, Md, as its authorized official.

NPPES Registry Identity

NPI1750212056
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameGREAT HEALTH MEDICAL PA PC
Location Address100 S JUNIPER ST FL 3Philadelphia, PA 19107-1316
Mailing Address407 Willoughby AveBrooklyn, NY 11205-4590
Phone(718) 470-0288
Organization SubpartNo
Authorized OfficialSonika RandevMd · (212) 734-6621
Enumeration DateMay 26, 2026
NPPES CertifiedMay 26, 2026
✔ NPI 1750212056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
100 S JUNIPER ST FL 3, Philadelphia, PA 19107
Open in Google Maps ↗

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 20

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

MARI KERR NP
Nurse Practitioner (Family)
100 S JUNIPER ST FL 3
PHILADELPHIA, PA 19107
Philadelphia County (866) 849-0692
TAMMY JO RODGERS LCSW
Social Worker (Clinical)
100 S JUNIPER ST FL 3
PHILADELPHIA, PA 19107
Philadelphia County (267) 999-9534
BIOFOURMIS CARE FL PLLC
Internal Medicine (Cardiovascular Disease)
100 S JUNIPER ST FL 3
PHILADELPHIA, PA 19107
Philadelphia County (310) 626-0149
JESSICA KOMISOR
Registered Nurse
100 S JUNIPER ST FL 3
PHILADELPHIA, PA 19107
Philadelphia County (866) 849-0692
MELINDA MICHALSKI PA-C
Physician Assistant
100 S JUNIPER ST FL 3
PHILADELPHIA, PA 19107
Philadelphia County (866) 849-0692
AMANDA ADAMCZYK LCSW
Social Worker (Clinical)
100 S JUNIPER ST FL 3
PHILADELPHIA, PA 19107
Philadelphia County (833) 258-8498
FORT HEALTH MEDICAL GROUP PA
Pediatrics
100 S JUNIPER ST FL 3
PHILADELPHIA, PA 19107
Philadelphia County (201) 208-2616
DEVOTED MEDICAL PA PC
Clinic/Center (Primary Care)
100 S JUNIPER ST FL 3
PHILADELPHIA, PA 19107
Philadelphia County (866) 849-0692

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 Great Health Medical PA PC's NPI number?

The NPI number for Great Health Medical PA PC is 1750212056. It was assigned to this organization in the NPPES registry on May 26, 2026.

Where is Great Health Medical PA PC located?

Great Health Medical PA PC is located at 100 S Juniper St Fl 3, Philadelphia, PA 19107. The listed phone number is (718) 470-0288.

What is Great Health Medical PA PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Great Health Medical PA PC was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.