DEDICATED PENNSYLVANIA NORTH PHILADELPHIA
NPI 1952804312
Internal Medicine in Philadelphia, PA

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

The NPI number for Dedicated Pennsylvania Holding, LLC is 1952804312. It was assigned to this organization in the NPPES registry on March 13, 2018. The provider is also known as Dedicated Pennsylvania North Philadelphia.

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since March 13, 2018

2101 W LEHIGH AVE STE A, PHILADELPHIA, PA 19132(305) 628-6117(786) 870-4039 Get Directions Write a Review

NPPES record last updated: March 13, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dedicated Pennsylvania North Philadelphia NPPES

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

DEDICATED PENNSYLVANIA NORTH PHILADELPHIA (NPI 1952804312) is a healthcare organization registered as an internal medicine in Philadelphia, Pennsylvania and active in the NPI registry since March 2018. The organization lists Raymond Jimenez, Dir Of Client Svcs, as its authorized official.

NPPES Registry Identity

NPI1952804312

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameDEDICATED PENNSYLVANIA HOLDING, LLC

Location Address2101 W LEHIGH AVE STE APhiladelphia, PA 19132-2664

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

Phone(305) 628-6117

Fax(786) 870-4039

Organization SubpartYes

Authorized OfficialRaymond JimenezDir Of Client Svcs · (786) 870-4039

Enumeration DateMarch 13, 2018

✔ NPI 1952804312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedSpecialistTaxonomy 174400000X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X

2101 W LEHIGH AVE STE A, Philadelphia, PA 19132

Open in Google Maps ↗

Other Names 1

Other NameDedicated Pennsylvania North Philadelphia

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 8

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

DR. PATRICK TIMOTHY WATERS D.O., F.A.A.F.P

Family Medicine (Geriatric Medicine)