DEDICATED PENNSYLVANIA OLNEY
NPI 1841707965
Specialist in Philadelphia, PA

Q: What is Dedicated Pennsylvania Holding, LLC's NPI number?

The NPI number for Dedicated Pennsylvania Holding, LLC is 1841707965. It was assigned to this organization in the NPPES registry on January 10, 2018. The provider is also known as Dedicated Pennsylvania Olney.

Q: What is Dedicated Pennsylvania Holding, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since January 10, 2018

5675 N FRONT ST STE 141, PHILADELPHIA, PA 19120(305) 628-6117 Get Directions Write a Review

NPPES record last updated: March 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 27, 2018, Jan 10, 2018 (2 updates tracked since 2018).

On this page

About Dedicated Pennsylvania Olney NPPES

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

DEDICATED PENNSYLVANIA OLNEY (NPI 1841707965) is a healthcare organization registered as a specialist in Philadelphia, Pennsylvania and active in the NPI registry since January 2018. The organization lists Raymond Jimenez, Director Of Client Services, as its authorized official.

NPPES Registry Identity

NPI1841707965

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameDEDICATED PENNSYLVANIA HOLDING, LLC

Location Address5675 N FRONT ST STE 141Philadelphia, PA 19120-2719

Mailing Address1395 N.w/ 167th Street, Payer Enrollment DepartmentMiami Gardens, FL 33169 · (305) 628-6117 · Fax (786) 870-4039

Phone(305) 628-6117

Organization SubpartYes

Authorized OfficialRaymond JimenezDirector Of Client Services · (305) 628-6117

Enumeration DateJanuary 10, 2018

Last NPPES UpdateMarch 27, 20182 updates tracked since enumeration

✔ NPI 1841707965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X

Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X

5675 N FRONT ST STE 141, Philadelphia, PA 19120

Open in Google Maps ↗

Other Names 1

Other NameDedicated Pennsylvania Olney

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 9

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

DR. KIMBERLY NATHALIA ROGERS M.D.

Internal Medicine